Provider Demographics
NPI:1144878158
Name:PILKENTON, MARIA DAVIS (CAREGIVER)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:DAVIS
Last Name:PILKENTON
Suffix:
Gender:F
Credentials:CAREGIVER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2136 CHESTER RIDGE DR APT D
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-8565
Mailing Address - Country:US
Mailing Address - Phone:336-521-5436
Mailing Address - Fax:
Practice Address - Street 1:2136 CHESTER RIDGE DR APT D
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-8565
Practice Address - Country:US
Practice Address - Phone:336-521-5436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider