| University City Chiropractic Inc | |
|
8524 University City Blvd, Charlotte, NC 28213-3579 | |
| (704) 568-6400 | |
| Not Available |
| Full Name | University City Chiropractic Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 8524 University City Blvd, 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 |
|---|---|---|---|
| 1962043711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 111NP0017X | Chiropractor - Pediatric Chiropractor | (* (Not Available)) | Secondary |
| Provider Name | Tyler Lee Maxey |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1902334345 PECOS PAC ID: 5991139966 Enrollment ID: I20191227001538 |
| Mailing Address | Practice Location Address |
|---|---|
| University City Chiropractic Inc 104 Blackburn Dr, Grover, NC 28073-9567 Ph: (704) 300-4268 | University City Chiropractic Inc 8524 University City Blvd, Charlotte, NC 28213-3579 Ph: (704) 568-6400 |
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