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 |
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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 |
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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 |
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Provider Enumeration Date | 01/07/2019 |
Last Update Date | 02/22/2023 |
Medicare PECOS PAC ID | 2961748207 |
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Medicare Enrollment ID | O20190108002085 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629541255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Gary Lee Draper |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1265708028 PECOS PAC ID: 9133382005 Enrollment ID: I20120514000359 |
Diabetic Special Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19900 W Catawba Ave, Cornelius, NC 28031 Phone: 704-895-8478 Fax: 704-895-8478 | |
Innovative Healthcare Management Provider Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19401 Old Jetton Rd Ste 100, Cornelius, NC 28031 Phone: 704-473-5263 Fax: 704-731-0961 | |