Carolina Sports Chiropractic Pllc | |
8912 Blakeney Professional Dr, Suite 100, Charlotte, NC 28277-6660 | |
(704) 544-5353 | |
Not Available |
Full Name | Carolina Sports Chiropractic Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 8912 Blakeney Professional Dr, Charlotte, 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 |
---|---|---|---|
1902034846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3687 (North Carolina) | Primary |
Provider Name | Joshua L Kollmann |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1245379445 PECOS PAC ID: 5193972867 Enrollment ID: I20120831000226 |
Provider Name | Bradley D Wiest |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1629395017 PECOS PAC ID: 2264685668 Enrollment ID: I20130116000031 |
Provider Name | Lauren L Jetton |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1619201480 PECOS PAC ID: 7416100839 Enrollment ID: I20130116000172 |
Provider Name | Andrew J Roland |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1790009827 PECOS PAC ID: 4981731221 Enrollment ID: I20130301000409 |
Provider Name | Tyler Barclay Lehman |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1730556614 PECOS PAC ID: 5092025502 Enrollment ID: I20151113000676 |
Provider Name | Michael J Duffy |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1346283272 PECOS PAC ID: 7214238039 Enrollment ID: I20151221002833 |
Provider Name | Cory R Lail |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104339480 PECOS PAC ID: 1658631320 Enrollment ID: I20180129002332 |
Provider Name | Zachary Luke Ratliff |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1467015115 PECOS PAC ID: 4385971167 Enrollment ID: I20190816001867 |
Provider Name | Anna Rae Lipocky |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1134740392 PECOS PAC ID: 2961833033 Enrollment ID: I20200506001134 |
Provider Name | Brittany A Hills |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578184099 PECOS PAC ID: 9931530268 Enrollment ID: I20200520002286 |
Provider Name | Chelsea Lee Jentsch |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730755356 PECOS PAC ID: 8325441264 Enrollment ID: I20210729001272 |
Provider Name | Caroline Maria Grosso |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1205508611 PECOS PAC ID: 2860890688 Enrollment ID: I20211008001706 |
Provider Name | Gaige Logan Rassman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154901239 PECOS PAC ID: 3476942657 Enrollment ID: I20211109001821 |
Provider Name | Abigail Glenna Crawford |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710634779 PECOS PAC ID: 7719374685 Enrollment ID: I20220422001132 |
Provider Name | Evan Roeder |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1740927656 PECOS PAC ID: 9335528512 Enrollment ID: I20220617001280 |
Provider Name | Allyson Hope Duckworth |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558058933 PECOS PAC ID: 1456717826 Enrollment ID: I20230919004389 |
Provider Name | Lyndsey Nicole Sciarrino |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1770360232 PECOS PAC ID: 7012368293 Enrollment ID: I20240111004859 |
Mailing Address | Practice Location Address |
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Carolina Sports Chiropractic Pllc 8912 Blakeney Professional Dr, Suite 100, Charlotte, NC 28277-6660 Ph: (704) 544-5353 | Carolina Sports Chiropractic Pllc 8912 Blakeney Professional Dr, Suite 100, Charlotte, NC 28277-6660 Ph: (704) 544-5353 |
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