Individual
MOLLIE MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC/ L
Contact information
Practice address
4090 CHASEWOOD DR, CONOVER, NC 28613-7557
(828) 455-4396
Mailing address
829 W 25TH ST, NEWTON, NC 28658-2852
(828) 464-3771
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1873
NC
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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