MEDICARE: MS. SHARON SALTERS GOINS

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	101Y00000X	Counselor	A11362	NC

General Provider Information

NPI Number	:	1982084224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHARON SALTERS GOINS

Provider Business Mailing Address
First Line	:	1652 WILLOMORE ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27403-3352
Country	:	US
Telephone Number	:	336-669-0899
Fax Number	:

Provider Business Practice Location Address
First Line	:	1652 WILLOMORE ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27403-3352
Country	:	US
Telephone Number	:	336-669-0899
Fax Number	:

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

Provider Enumeration Date	:	06/02/2015
Last Update Date	:	06/02/2015

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