Individual
CHARLY MOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
212 ALLENDALE DR, FOREST CITY, NC 28043-2889
(828) 245-7626
Mailing address
212 ALLENDALE DR, FOREST CITY, NC 28043-2889
(828) 245-7626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5017046
NC
363LF0000X
Family Nurse Practitioner
Primary
5017046
NC
Other
Enumeration date
10/12/2022
Last updated
04/11/2024
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