Sally Ray Miller Pidge is a
Specialist based in Charlotte, North Carolina. Sally Ray Miller Pidge is licensed to practice in North Carolina (license number 4234) and their current practice location is
2301 Crown Point Executive Dr, Suite E, Charlotte, North Carolina. It can be reached at their office (for appointments etc.) via phone at
(704) 708-8314.
NPI number for Sally Ray Miller Pidge is 1154408607 and their current mailing address is 2301 Crown Point Executive Dr, Suite E, Charlotte, North Carolina. Sally Ray Miller Pidge
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1154408607.
Healthcare Provider's Profile
Full Name | Sally Ray Miller Pidge |
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Type | Facility |
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Speciality | Specialist |
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Location | 2301 Crown Point Executive Dr, Charlotte, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154408607
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 10/11/2012
Medical Identifiers
Medical identifiers for Sally Ray Miller Pidge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154408607 | NPI | - | NPPES |
7411122 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 2583 (North Carolina) | Secondary |
174400000X | Specialist | 4234 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sally Ray Miller Pidge is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sally Ray Miller Pidge 2301 Crown Point Executive Dr, Suite E, Charlotte, NC 28227-6725 Ph: (704) 708-8314 | Sally Ray Miller Pidge 2301 Crown Point Executive Dr, Suite E, Charlotte, NC 28227-6725 Ph: (704) 708-8314 |
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