Cross Creek Chiropractic Clinic Pa | |
517 Beaumont Rd, Fayetteville, NC 28304-4424 | |
(910) 323-5522 | |
Not Available |
Full Name | Cross Creek Chiropractic Clinic Pa |
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Type | Facility |
Speciality | Chiropractor |
Location | 517 Beaumont Rd, Fayetteville, 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 |
---|---|---|---|
1891890869 | NPI | - | NPPES |
013GN | Other | NC | BCBS |
89013GN | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 1753 (North Carolina) | Primary |
Provider Name | Gary L Thorne |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1184606741 PECOS PAC ID: 9739264607 Enrollment ID: I20080317000657 |
Mailing Address | Practice Location Address |
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Cross Creek Chiropractic Clinic Pa 517 Beaumont Rd, Fayetteville, NC 28304-4424 Ph: (910) 323-5522 | Cross Creek Chiropractic Clinic Pa 517 Beaumont Rd, Fayetteville, NC 28304-4424 Ph: (910) 323-5522 |
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