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Sheila Green Clark, CFM
Mastectomy Fitter in Laurinburg, North Carolina
NPI 1407271307

Sheila Green Clark is a Mastectomy Fitter based in Laurinburg, NC. Sheila Green Clark practices in Laurinburg, NC and has the professional credentials of CFM. The NPI Number for Sheila Green Clark is 1407271307 and holds a License No. CFM02819 (North Carolina).

The current practice location address for Sheila Green Clark is 1028 Atkinson St, Laurinburg, NC and can be reached out via phone at 910-276-6061 and via fax at 910-276-6586.

Location: 1028 Atkinson St, Laurinburg, NC, 28352-4721
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407271307
Provider Name
Sheila Green Clark
Credential
CFM
Provider Entity Type
Individual
Gender
Female
Address
1028 Atkinson St, Laurinburg, NC, 28352-4721
Phone Number
910-276-6061
Fax Number
910-276-6586
Provider Enumeration Date
02/28/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1336245166 05 NC
institution
Provider Business Practice Location Address Details
Address
1028 Atkinson St
City
Laurinburg
State
North Carolina
Zip
28352-4721
Phone Number
910-276-6061
Fax Number
910-276-6586
person
Provider Business Mailing Address Details
Address
1028 Atkinson St
City
Laurinburg
State
North Carolina
Zip
28352-4721
Phone Number
910-276-6061
Fax Number
910-276-6586
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Mastectomy Fitter
Speciality
-
Taxonomy
224900000X
License No.
CFM02819 (North Carolina)
Definition
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
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