Organization
EMPIRE GARDEN LYMPHEDEMA SERVICES & PRODUCTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS EARLINE JACKSON (DIRECTOR/CHIEF THERAPIST)
(919) 677-0767
Entity
Organization
Contact information
Practice address
539 KEISLER DR, SUITE 204, CARY, NC 27518-9320
(919) 677-0767
Mailing address
539 KEISLER DR STE 204, CARY, NC 27518-9320
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
71590
NC
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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