| Dr. Gary Draper Dc Pllc | |
|
18805 W Catawba Ave Ste 101 Cornelius NC 28031-4609 | |
| (704) 987-5050 | |
| (704) 987-5067 |
| Full Name | Dr. Gary Draper Dc Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 18805 W Catawba Ave Ste 101, Cornelius, North Carolina |
| Authorized Official Name and Position | Gary Lee Draper (CHIROPRACTOR) |
| Authorized Official Contact | 7049875050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Gary Draper Dc Pllc 18805 W Catawba Ave Ste 101 Cornelius NC 28031-4609 Ph: (704) 987-5050 | Dr. Gary Draper Dc Pllc 18805 W Catawba Ave Ste 101 Cornelius NC 28031-4609 Ph: (704) 987-5050 |
| NPI Number | 1629541255 |
|---|---|
| Provider Enumeration Date | 01/07/2019 |
| Last Update Date | 02/22/2023 |
| Medicare PECOS PAC ID | 2961748207 |
|---|---|
| Medicare Enrollment ID | O20190108002085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629541255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Gary Lee Draper |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265708028 PECOS PAC ID: 9133382005 Enrollment ID: I20120514000359 |
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