Individual
CONSTANCE CARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 S MAIN ST, KERNERSVILLE, NC 27284-7478
(612) 225-1538
Mailing address
1101 S MAIN ST, KERNERSVILLE, NC 27284-7478
(612) 225-1538
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5004497
NC
Other
Enumeration date
09/19/2009
Last updated
09/19/2009
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