| South Main Chiropractic Of Lexington, Pllc | |
|
813 S Main St Lexington NC 27292-3150 | |
| (336) 243-8000 | |
| (336) 243-8001 |
| Full Name | South Main Chiropractic Of Lexington, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 813 S Main St, Lexington, North Carolina |
| Authorized Official Name and Position | Philip A. Mahan (MEMBER/ MANAGER) |
| Authorized Official Contact | 3362438000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Main Chiropractic Of Lexington, Pllc 813 S Main St Lexington NC 27292-3150 Ph: (336) 243-8000 | South Main Chiropractic Of Lexington, Pllc 813 S Main St Lexington NC 27292-3150 Ph: (336) 243-8000 |
| NPI Number | 1679678171 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 09/25/2012 |
| Medicare PECOS PAC ID | 6204929581 |
|---|---|
| Medicare Enrollment ID | O20070831000257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679678171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2779 (North Carolina) | Primary |
| Provider Name | Philip Mahan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720075997 PECOS PAC ID: 0648374405 Enrollment ID: I20070403000705 |
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