Individual
IDA NORTHCUTT-GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
227 N MAIN ST, TROY, NC 27371-3015
(910) 572-3681
(910) 572-5579
Mailing address
PO BOX 9, 1120 SEVEN LAKES DRIVE, WEST END, NC 27376-0009
(910) 673-9111
(910) 673-6202
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
195718
NC
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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