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3706 Morganton Rd, Fayetteville, NC 28303-4963 | |
(210) 396-2964 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Neuromusculoskeletal Medicine & Omm |
Location | 3706 Morganton Rd, Fayetteville, 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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1245870484 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Secondary |
204D00000X | Neuromusculoskeletal Medicine & Omm | (* (Not Available)) | Primary |
Provider Name | Daniel J Culliton |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1053409649 PECOS PAC ID: 7214030337 Enrollment ID: I20070310000041 |
Provider Name | Dawn M Ruminski |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1710120316 PECOS PAC ID: 1658706916 Enrollment ID: I20200114001878 |
Provider Name | Jennifer Thorn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366010902 PECOS PAC ID: 0446658769 Enrollment ID: I20211018000227 |
Mailing Address | Practice Location Address |
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2932 Walden Rd, Fayetteville, NC 28303-3867 Ph: (210) 396-2964 | 3706 Morganton Rd, Fayetteville, NC 28303-4963 Ph: (210) 396-2964 |