Individual
MRS. ANGELA LEE CALLICUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10 PARKER LN, SUITE 1, PINEHURST, NC 28374-7903
(910) 295-3133
(910) 295-2723
Mailing address
129 ALDER BRANCH DRIVE, PO BOX 1075, BISCOE, NC 27209-1075
(910) 428-5296
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
127266
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3403400
—
NC
Enumeration date
04/03/2007
Last updated
10/23/2009
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