Individual
MRS. CARLA CLEWIS POLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11561 HOOPER DR, LAURINBURG, NC 28352-7745
(910) 276-9176
Mailing address
11561 HOOPER DR, LAURINBURG, NC 28352-7745
(910) 276-9176
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202657
NC
Other
Enumeration date
08/14/2015
Last updated
07/21/2022
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