Dr Andrew Jonathan Roland, DC | |
8912 Blakeney Professional Dr, Ste 100, Charlotte, NC 28277-6735 | |
(704) 544-5382 | |
(704) 544-5382 |
Full Name | Dr Andrew Jonathan Roland |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 8912 Blakeney Professional Dr, Charlotte, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790009827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038.011617 (Illinois) | Secondary |
111N00000X | Chiropractor | 4110 (North Carolina) | Primary |
Provider Name | Carolina Sports Chiropractic Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902034846 PECOS PAC ID: 1254584659 Enrollment ID: O20130116000037 |
Mailing Address | Practice Location Address |
---|---|
Dr Andrew Jonathan Roland, DC 8912 Blakeney Professional Dr, Ste 100, Charlotte, NC 28277-6735 Ph: (704) 544-5353 | Dr Andrew Jonathan Roland, DC 8912 Blakeney Professional Dr, Ste 100, Charlotte, NC 28277-6735 Ph: (704) 544-5382 |
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