Tracy Blackmon-Paylor Valid NPI
Individual provider · Prosthetics Case Management · Fayetteville, NC
- NPI
- 1902251556
- Type
- Individual (Type 1)
- Primary specialty
- Prosthetics Case Management (Specialist)
- Specialty group
- Other Service Providers
- Taxonomy code
- 1744P3200X
- License number
- C100052 (NC)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2016-05-02
- Last updated
- 2016-05-10
Practice location
732 Dalmore Dr
Fayetteville, NC 28311-1133
(910) 494-4968