MEDICARE: SALLY ANN CARTAGENA RRT

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	227900000X	Registered Respiratory Therapist	460	SC

General Provider Information

NPI Number	:	1760819387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SALLY ANN CARTAGENA RRT

Provider Business Mailing Address
First Line	:	840 SPARKLEBERRY LN APT 410
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29229-6563
Country	:	US
Telephone Number	:	803-457-4292
Fax Number	:

Provider Business Practice Location Address
First Line	:	4401 BELLE OAKS DR
Second Line	:	SUITE 280
City	:	N CHARLESTON
State	:	SC
Zip	:	29405-8537
Country	:	US
Telephone Number	:	866-571-2700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2013
Last Update Date	:	09/27/2013

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Directions to “ SALLY ANN CARTAGENA RRT” Practice Location

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