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Individual

PEBBLES GRIFFIN-DOCKERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6601 OLD MONROE RD, INDIAN TRAIL, NC 28079-5352
(980) 858-9053
Mailing address
1724 MOSS CREEK DR, HARRISBURG, NC 28075-8661
(704) 906-2498

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
81517
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C81517
PROSTHETIC SPECIALIST
NC
Enumeration date
07/07/2019
Last updated
07/07/2019
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