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NPI Code Detail

MEDICARE: MRS. SALLY MCNEER CARLTON

MEDICARE: MRS. SALLY MCNEER CARLTON
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
1225100000XPhysical Therapist6763NC

General Provider Information

NPI Number : 1831417708
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SALLY MCNEER CARLTON
Provider Business Mailing Address
First Line : 2501 BUENA VISTA RD
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27104-2103
Country : US
Telephone Number : 336-794-0079
Fax Number :
Provider Business Practice Location Address
First Line : 2601 REYNOLDA RD
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27106-3863
Country : US
Telephone Number : 336-722-2224
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2010
Last Update Date : 05/17/2010

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Directions to “ MRS. SALLY MCNEER CARLTON ” Practice Location

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