Individual
AHLEA LYNN SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 E 5TH ST, GREENVILLE, NC 27858-2502
(252) 328-6131
Mailing address
559 DEER RUN RD, NEW BERN, NC 28562-9089
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
284993
NC
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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