Individual
MS. CAROL MYRTLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3541 RANDOLPH RD, STE 100W, CHARLOTTE, NC 28211-1082
(704) 323-2000
Mailing address
4601 PARK RD, SUITE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
3345
NC
Other
Enumeration date
12/02/2005
Last updated
05/13/2010
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