Individual
CHARLENE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5439 YADKIN RD, STE 114, FAYETTEVILLE, NC 28303-6014
(910) 364-1515
Mailing address
5439 YADKIN RD, STE 114, FAYETTEVILLE, NC 28303
(910) 364-1515
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
C5804
NC
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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