| Carolina Therapeutic Services Community Development Inc | |
|
1781 Tate Blvd Se Ste 202 Hickory NC 28602-4252 | |
| (828) 758-1320 | |
| (828) 758-1332 |
| Full Name | Carolina Therapeutic Services Community Development Inc |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 1781 Tate Blvd Se Ste 202, Hickory, North Carolina |
| Authorized Official Name and Position | Holly Shivadecker (CFO) |
| Authorized Official Contact | 7048641477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Therapeutic Services Community Development Inc 1528 Union Rd Gastonia NC 28054-2200 Ph: (704) 864-1477 | Carolina Therapeutic Services Community Development Inc 1781 Tate Blvd Se Ste 202 Hickory NC 28602-4252 Ph: (828) 758-1320 |
| NPI Number | 1649050345 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 10/02/2023 |
| Certification Date | 10/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649050345 | NPI | - | NPPES |
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