| Carolina Concussion & Physical Medicine, Pllc | |
|
120 Capcom Aveune, Suite 104, Wake Forest, NC 27587 | |
| (301) 922-6188 | |
| Not Available |
| Full Name | Carolina Concussion & Physical Medicine, Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Rehabilitation |
| Location | 120 Capcom Aveune, Wake Forest, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124544499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | 4670 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Concussion & Physical Medicine, Pllc 7900 Woodcross Way, Wake Forest, NC 27587-8328 Ph: (301) 922-6188 | Carolina Concussion & Physical Medicine, Pllc 120 Capcom Aveune, Suite 104, Wake Forest, NC 27587 Ph: (301) 922-6188 |
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