Individual
ANDRENE CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4030 WAKE FOREST RD STE 349, RALEIGH, NC 27609-0010
(704) 565-1028
Mailing address
4030 WAKE FOREST RD STE 349, RALEIGH, NC 27609-0010
(704) 565-1028
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
G5JJK4XVZI
NC
Other
Enumeration date
06/16/2025
Last updated
06/23/2025
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