Gorlesky Back & Neck Chiropractic, Inc | |
301 S White St Wake Forest NC 27587-2916 | |
(919) 556-1033 | |
(919) 556-1034 |
Full Name | Gorlesky Back & Neck Chiropractic, Inc |
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Speciality | Clinic/center |
Location | 301 S White St, Wake Forest, North Carolina |
Authorized Official Name and Position | Jack Gorlesky (OWNER) |
Authorized Official Contact | 9195561033 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gorlesky Back & Neck Chiropractic, Inc 301 S White St Wake Forest NC 27587-2916 Ph: (919) 556-1033 | Gorlesky Back & Neck Chiropractic, Inc 301 S White St Wake Forest NC 27587-2916 Ph: (919) 556-1033 |
NPI Number | 1013086909 |
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Provider Enumeration Date | 11/07/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013086909 | NPI | - | NPPES |
08452 | Other | NC | BLUE CROSS-BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 1030 (North Carolina) | Primary |
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