is a Chiropractor in Greensboro, North Carolina. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for is 1992816847. The last update date is .
's current location address is 2020 New Garden Road, Greensboro, North Carolina. You can contact this provider via phone number 3362882255 and fax number 3362889997. The mailing address for is 2020 New Garden Road, Greensboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 2020 New Garden Road, Greensboro, North Carolina |
| Phone Number | 3362882255 |
| Fax Number | 3362889997 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1992816847 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 2020 New Garden Road |
|---|---|
| City | Greensboro |
| State | North Carolina (NC) |
| Post Code | 27410 |
| Phone Number | 3362882255 |
| Fax Number | 3362889997 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2188 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0843R | NC | BCBS | |
| 8908437 | NC | -- |
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