| |
1140 N Lake Park Blvd, Suite I, Carolina Beach, NC 28428-4100 | |
(910) 431-7970 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 1140 N Lake Park Blvd, Carolina Beach, North Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1003217209 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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2481 Belshaw Dr, Leland, NC 28451-6508 Ph: (910) 431-7970 | 1140 N Lake Park Blvd, Suite I, Carolina Beach, NC 28428-4100 Ph: (910) 431-7970 |