Individual
KARLITA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1928 ABBEYDALE LN, FAYETTEVILLE, NC 28304-2942
(910) 920-7506
(910) 676-8576
Mailing address
1928 ABBEYDALE LN, FAYETTEVILLE, NC 28304-2942
(910) 920-7506
(910) 676-8576
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
812138412
NC
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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