Individual
CAROL WOMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6161 LAKE BRANDT RD, GREENSBORO, NC 27455-8414
(336) 643-5800
(336) 643-7474
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 643-5800
(336) 643-7474
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201015
NC
363LF0000X
Family Nurse Practitioner
000201015
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005697
—
NC
Enumeration date
11/02/2006
Last updated
06/21/2013
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