Individual
MRS. CAROL P MOTT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
24901 KELLY RD, EASTPOINTE, MI 48021-1384
(586) 772-9055
(586) 772-0543
Mailing address
24901 KELLY RD, EASTPOINTE, MI 48021-1384
(586) 772-9055
(586) 772-0543
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001930
MI
Other
Enumeration date
09/23/2005
Last updated
07/08/2007
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