SearchNorth Carolina311ZA0620X

Carl Sickerott

NPI 1518214022 · on the registry since 2012 · sole proprietor

Practice

Address
2026 Fairview Rd
Raleigh, NC 27608
Phone
(919) 946-1758
Organisation at this address
The Bray Home
The Bray Home
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
311ZA0620X
311ZA0620X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-08-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina