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Organization
KJC CORP
Active
Organization
KJC CORP
Active
Other names
Advance Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DEANA MCCOLLUM (OFFICE MANAGER)
(919) 932-7266
Entity
Organization
Contact information
Practice address
1709 LEGION RD STE 100, CHAPEL HILL, NC 27517-2373
(919) 932-7266
(919) 932-7250
Mailing address
1709 LEGION RD STE 100, CHAPEL HILL, NC 27517-2373
(919) 932-7266
(919) 932-7250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013CA
BLUE CROSS OF NC
NC
01
—
DU4453
RAILROAD MEDICARE
—
Enumeration date
03/17/2006
Last updated
08/05/2025
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