| |
3302 S New Hope Rd Suite 100-f Gastonia NC 28056-8317 | |
(704) 879-9071 | |
(704) 879-9073 |
Full Name | |
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Speciality | Clinic/Center |
Location | 3302 S New Hope Rd, Gastonia, North Carolina |
Authorized Official Name and Position | John Christopher Taulman (PRESIDENT) |
Authorized Official Contact | 7048799071 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3302 S New Hope Rd Suite 100-f Gastonia NC 28056-8317 Ph: (704) 879-9071 | 3302 S New Hope Rd Suite 100-f Gastonia NC 28056-8317 Ph: (704) 879-9071 |
NPI Number | 1952627564 |
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Provider Enumeration Date | 04/08/2010 |
Last Update Date | 04/08/2010 |
Medicare PECOS PAC ID | 9335276781 |
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Medicare Enrollment ID | O20100416000488 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952627564 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 3533 (North Carolina) | Primary |
Provider Name | John C Taulman |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1720096050 PECOS PAC ID: 8325045529 Enrollment ID: I20061101000196 |
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