Mt. Olive Chiropractic Clinic, P.c. | |
515 W Main St, Mount Olive, NC 28365-1903 | |
(919) 658-0003 | |
(919) 658-0310 |
Full Name | Mt. Olive Chiropractic Clinic, P.c. |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 515 W Main St, Mount Olive, 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 |
---|---|---|---|
1285730697 | NPI | - | NPPES |
0820M | Other | NC | BLUE CROSS |
0820M | Other | NC | BLUE SHIELD |
890820M | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2404 (North Carolina) | Primary |
Provider Name | Massoud Motamed |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1538238696 PECOS PAC ID: 8123060886 Enrollment ID: I20050524000483 |
Provider Name | Iman Motamed |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1912541822 PECOS PAC ID: 2264867977 Enrollment ID: I20200127000132 |
Provider Name | Shanta Motamed |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1861065997 PECOS PAC ID: 3678978012 Enrollment ID: I20210823001731 |
Mailing Address | Practice Location Address |
---|---|
Mt. Olive Chiropractic Clinic, P.c. 515 W Main St, Mount Olive, NC 28365-1903 Ph: (919) 658-0003 | Mt. Olive Chiropractic Clinic, P.c. 515 W Main St, Mount Olive, NC 28365-1903 Ph: (919) 658-0003 |
2j Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1120 N Breazeale Ave, Mount Olive, NC 28365 Phone: 919-299-8033 | |
Massoud Motamed, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 515 W Main St, Mount Olive, NC 28365 Phone: 919-658-0003 Fax: 919-658-0310 | |
Dr. Shanta Motamed, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 515 W Main St, Mount Olive, NC 28365 Phone: 919-658-0003 | |
Dr. Iman Motamed, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 515 W Main St, Mount Olive, NC 28365 Phone: 919-658-0003 Fax: 919-658-0310 |