Individual
TISHMA MCGARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 N B STREET, BRIDGETON, NC 28519-2851
(252) 876-1176
Mailing address
755 ANGE RD, GRIFTON, NC 28530-9036
(252) 876-1176
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
C88088
NC
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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