| Doctor Name: | MR. RICKEY DALE CARROW |
| NPI Number: | 1447420385 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ORTHOTIST |
| License Number: | CO003664 |
| Business Practice Address: | 168 Jefferson Rd. Pinetown, NC - 278659463 |
| Business Phone Number: | 2529272088 |
| Business Fax Number: | 2529272088 |
| Mailing Address: | 168 Jefferson Rd., PINETOWN |
| State: | NC |
| Postal Code: | 278659463 |
| Phone Number: | 2529272088 |
| Fax Number: | 2529272088 |
| NPI Enumeration Date: | 03/06/2008 |
| NPI Last Update Date: | 03/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1744P3200X |
| License Number: | CO003664 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DE |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | Prosthetics Case Management |
| Taxonomy Definition: | |