MEDICARE: PUTNEY & PUTNEY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1396676615
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PUTNEY & PUTNEY LLC

Provider Business Mailing Address
First Line	:	3108 GINGER LAKE CT
Second Line	:
City	:	ZEBULON
State	:	NC
Zip	:	27597-5737
Country	:	US
Telephone Number	:	919-896-0673
Fax Number	:	919-488-5151

Provider Business Practice Location Address
First Line	:	4873 THELMA RD
Second Line	:
City	:	ROANOKE RAPIDS
State	:	NC
Zip	:	27870-8715
Country	:	US
Telephone Number	:	919-896-0673
Fax Number	:	919-488-5151

Authorized Official
Title or Position	:	OWNER
Name	:	DARNETTE PUTNEY
Credential	:
Telephone Number	:	919-896-0673

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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Directions to “PUTNEY & PUTNEY LLC ” Practice Location

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