SALLY RAY MILLER PIDGE NPI 1154408607

NPI Information

SALLY RAY MILLER PIDGE is a specialist in Charlotte, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SALLY RAY MILLER PIDGE NPI is 1154408607. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sally Pidge Dba Achieve.

The provider's business location address is:

2301 CROWN POINT EXECUTIVE DR
SUITE E
CHARLOTTE, NC
ZIP 28227-725
Phone: (704) 708-8314
Fax: (704) 708-8315

The provider's authorized official is Sally Ray Pidge .
The authorized official title is Owner Therapist and has the following contact phone number (704) 708-8314.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 10/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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