Green, Peggy

Green, Peggy is an sole proprietor health care provider with primary practice located at 6400 Ivory Palm Dr , Charlotte NC 28227-2435. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Green, Peggy can be contacted via phone (704) 910-5458.

Contact Information

Primary practice address
6400 Ivory Palm Dr Charlotte NC 28227-2435
Phone: (704) 910-5458
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1174826390
LBN Legal business name Green, Peggy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2010
Last updated Dec 9th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers