Carolina Chirocare And Rehab Inc. | |
1207 Ridge Rd, Raleigh, NC 27607-6834 | |
(919) 809-7839 | |
(919) 809-7839 |
Full Name | Carolina Chirocare And Rehab Inc. |
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Type | Facility |
Speciality | Chiropractor |
Location | 1207 Ridge Rd, Raleigh, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174834501 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 3985 (North Carolina) | Primary |
Provider Name | Jeffrey Stanton Gerdes |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1205089703 PECOS PAC ID: 9032367362 Enrollment ID: I20120912000078 |
Mailing Address | Practice Location Address |
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Carolina Chirocare And Rehab Inc. 1207 Ridge Rd, Raleigh, NC 27607-6834 Ph: (919) 809-7839 | Carolina Chirocare And Rehab Inc. 1207 Ridge Rd, Raleigh, NC 27607-6834 Ph: (919) 809-7839 |
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