Healthcare Provider Details

I. General information

NPI: 1730113911
Provider Name (Legal Business Name): CAROL ANN MACLEAN RDMS,(AB/OB) RVT(VT)
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CAROL ANN MORGAN R.T.R

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 FRIENDLY LN
ASHEVILLE NC
28806-4704
US

IV. Provider business mailing address

101 FRIENDLY LN
ASHEVILLE NC
28806-4704
US

V. Phone/Fax

Practice location:
  • Phone: 828-551-4754
  • Fax: 206-203-4697
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License NumberNO STATE LICENSE
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: