Dr Avanda Jane Demperio, DC | |
5803 W Wilkinson Blvd, Belmont, NC 28012-4809 | |
(704) 825-9799 | |
(704) 825-9977 |
Full Name | Dr Avanda Jane Demperio |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 5803 W Wilkinson Blvd, Belmont, 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 |
---|---|---|---|
1942280318 | NPI | - | NPPES |
0838E | Other | NC | BLUE CROSS/ BLUE SHIELD |
890838E | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 1388 (North Carolina) | Primary |
Provider Name | Belmont Chiropractic Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861433054 PECOS PAC ID: 9335301050 Enrollment ID: O20120425000620 |
Mailing Address | Practice Location Address |
---|---|
Dr Avanda Jane Demperio, DC 5803 W Wilkinson Blvd, Belmont, NC 28012-4809 Ph: (704) 825-9799 | Dr Avanda Jane Demperio, DC 5803 W Wilkinson Blvd, Belmont, NC 28012-4809 Ph: (704) 825-9799 |
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