Keith Clinic Of Chiropractic, Pa | |
7701 Sharon Lakes Rd, Ste 1, Charlotte, NC 28210-4700 | |
(704) 553-1950 | |
(704) 553-1951 |
Full Name | Keith Clinic Of Chiropractic, Pa |
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Type | Facility |
Speciality | Chiropractor |
Location | 7701 Sharon Lakes Rd, Charlotte, 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 |
---|---|---|---|
1770873903 | NPI | - | NPPES |
50908981 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 3389 (North Carolina) | Primary |
Provider Name | Dwayne A Brouse |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1801987938 PECOS PAC ID: 9638141054 Enrollment ID: I20070829000253 |
Mailing Address | Practice Location Address |
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Keith Clinic Of Chiropractic, Pa 7701 Sharon Lakes Rd, Ste 1, Charlotte, NC 28210-4700 Ph: (704) 553-1950 | Keith Clinic Of Chiropractic, Pa 7701 Sharon Lakes Rd, Ste 1, Charlotte, NC 28210-4700 Ph: (704) 553-1950 |
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