Individual ProviderKarley EatonPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address4350 Us Hwy 421 South, Lillington, NC 27546-2754(910) 893-1690(360) 431-6591PECOS EnrollmentBased on the most recent information from CMS, provider Karley Eaton is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1396515912Provider TypeIndividualFull NameEaton, KarleyGenderFemaleSole ProprietorNoEnumeration Date1/4/2024Last Updated9/18/2024Contact InformationPractice LocationPractice Address4350 Us Hwy 421 South, Lillington, NC 27546-2754Phone(910) 893-1690FaxUnlisted FaxMailing LocationMailing Address232 Winston Dr, Lillington, NC 27546-5166Phone(360) 431-6591FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA61536751WashingtonCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer