NPI 1154777522

Green,karlita

Organisation Prosthetic/Orthotic Supplier Fayetteville, NC

Practice location

Address: 1928 Abbeydale Ln, Fayetteville, NC 28301-6600
Phone: (910) 920-7506
Fax: (910) 676-8576

Authorised official

Name: Karlita Green
Title: Owner
Phone: (910) 920-7506

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 88486 (NC)

Other Prosthetic/Orthotic Supplier providers in North Carolina →

Registry record

NPI: 1154777522
Entity type: Organization
NPI issued: 4 May 2016
Record last updated: 4 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.