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Contact Information

CLOVER M COLONEL, RN
1040 S CHURCH ST
BURLINGTON, NC27215-5046
 Phone: 336-222-8052
 Fax: 336-222-8091
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
 

Orthotics/Prosthetics Fitter

225000000X
Indicates primary specialty

NPI Profile & details for

NPI # 1831346964
Entity Organization
Organization subpart 1 Not specified
Enumeration date 08/20/2008
Last updated 10/25/2019 - About 7 years ago
Identifiers
NC Medicaid 7795167
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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