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102 N Main St., Suite #3, Kenansville, NC 28349 | |
(910) 296-0019 | |
(910) 226-2026 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 102 N Main St., Kenansville, 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 |
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1568716199 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 3907 (North Carolina) | Primary |
Provider Name | Chad M Anderson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1093803066 PECOS PAC ID: 4789783515 Enrollment ID: I20090305000491 |
Mailing Address | Practice Location Address |
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Po Box 454, Kenansville, NC 28349-0454 Ph: (910) 296-0019 | 102 N Main St., Suite #3, Kenansville, NC 28349 Ph: (910) 296-0019 |
Dr. Chad Michael Anderson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 102 N. Main Street - Suite #3, Kenansville, NC 28349 Phone: 910-296-0019 |