Individual
MR. WILLIAM CAREY ALTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
Mailing address
120 BUTTERNUT LN, ROCKY MOUNT, VA 24151-4145
(540) 483-1789
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
B052206701
VA
164W00000X
Licensed Practical Nurse
Primary
0002083355
VA
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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