NPI 1174826390
Peggy Green
Practice location
- Address
- 6400 Ivory Palm Dr, Charlotte, NC 28227-2435
- Phone
- (704) 910-5458
- Mailing address
- 6400 Ivorypalmdr., Charlotte, NC 28227-2435
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1174826390
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Dec 2010
- Record last updated
- 9 Dec 2010
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.