Jacksonville Chiropractic & Wellness | |
1201 Gum Branch Rd, Jacksonville, NC 28540-5016 | |
(910) 455-6696 | |
Not Available |
Full Name | Jacksonville Chiropractic & Wellness |
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Type | Facility |
Speciality | Chiropractor |
Location | 1201 Gum Branch Rd, Jacksonville, 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 |
---|---|---|---|
1487986782 | NPI | - | NPPES |
2453394A | Other | MEDICARE PROVIDER NUMBER | |
890837V | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 2621 (North Carolina) | Primary |
Provider Name | David J Taylor |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1669535506 PECOS PAC ID: 0749313476 Enrollment ID: I20100802000980 |
Mailing Address | Practice Location Address |
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Jacksonville Chiropractic & Wellness 1802 E Ash St, Goldsboro, NC 27530-4045 Ph: () - | Jacksonville Chiropractic & Wellness 1201 Gum Branch Rd, Jacksonville, NC 28540-5016 Ph: (910) 455-6696 |
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