Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist | C98508 | NC |
NPI | 1104399070 |
---|---|
Provider Name | Nattya S Pilgreen |
First Address | Concord, NC 28027-3381 |
Second Address | Charlotte, NC 28262 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2019 |
Last Update Date | 03/01/2019 |