Organization
GREEN,KARLITA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLITA GREEN (OWNER)
(910) 920-7506
Entity
Organization
Contact information
Practice address
1928 ABBEYDALE LN, FAYETTEVILLE, NC 28301-6600
(910) 920-7506
(910) 676-8576
Mailing address
1928 ABBEYDALE LN, FAYETTEVILLE, NC 28301-6600
(910) 920-7506
(910) 676-8576
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
88486
NC
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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