Individual
MRS. CYNTHIA MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1715 COUNTRY CLUB RD STE B, JACKSONVILLE, NC 28546-6042
(910) 238-2026
(910) 238-2656
Mailing address
1715 COUNTRY CLUB RD STE B, JACKSONVILLE, NC 28546-6042
(910) 238-2026
(910) 238-2656
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
CFM01154
NC
225000000X
Orthotic Fitter
CFO04639
NC
225000000X
Orthotic Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356546089
—
NC
05
—
7795158
—
NC
Enumeration date
06/21/2007
Last updated
08/09/2021
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