NPI 1376957308

Mary Renfro, CFM

Practitioner Mastectomy Fitter Charlotte, NC

Practice location

Address: 8310 Medical Plaza Dr STE C, Charlotte, NC 28262-6701
Phone: (704) 510-1300
Fax: (704) 510-1311
Mailing address: 2800 Saint Leos St, Greensboro, NC 27405-3382

Registered specialties

Mastectomy Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X Licence 02849 (NC)

Other Mastectomy Fitter providers in North Carolina →

Registry record

NPI: 1376957308
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jun 2014
Record last updated: 18 Jun 2014

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.