Provider Demographics
NPI:1174818645
Name:CAROLINA PULMONARY SOLUTIONS INC.
Entity Type:Organization
Organization Name:CAROLINA PULMONARY SOLUTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED RESPIRATORY THERAPIST/OW
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA CHRISTOPHER P
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:PENDERGRAFT
Authorized Official - Suffix:
Authorized Official - Credentials:RRT,RCP
Authorized Official - Phone:919-495-1978
Mailing Address - Street 1:699 POCOMOKE RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:27525
Mailing Address - Country:US
Mailing Address - Phone:919-495-1978
Mailing Address - Fax:
Practice Address - Street 1:699 POCOMOKE RD
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:NC
Practice Address - Zip Code:27525
Practice Address - Country:US
Practice Address - Phone:919-495-1978
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-13
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA-42662279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral CareGroup - Single Specialty