Organization
MIXED ROOTS LLC
Active
Organization
MIXED ROOTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MCCRAY STYLIST (SALON OWNER)
(856) 236-6555
Entity
Organization
Contact information
Practice address
6300 CREEDMOOR RD STE 118, RALEIGH, NC 27612-6730
(919) 720-4080
Mailing address
10624 SUNNY POINT DR, ZEBULON, NC 27597-6880
(856) 236-6555
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up