Deneka McMillan, CERTIFIED HAIR LOSS
Individual provider Active NPI Prosthetics Case Management · Hopemills, NC
NPI 1003289976 · NPPES record last updated Nov 2, 2015
Key facts
- NPI
- 1003289976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthetics Case Management 1744P3200X
- License
- C64516 (NC)
- Practice address
- 3441 North Main Street
Hopemills, NC 28348 - Phone
- (910) 487-0001
- NPI assigned
- Nov 2, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C64516 | NC | MD | Prosthetics Case Management |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | C64516 | NC | Yes |
Addresses
Primary practice location
3441 North Main Street
Hopemills, NC 28348
Mailing address
5259 Heather Street
Hopemills, NC 28348
Phone (910) 261-2634
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.