# CHARLES T MCCRORY, DC MD, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912285487
- **Authorized official:** DR. CHARLES THOMAS MCCRORY DC, MD (OWNER)
- **Authorized official phone:** (916) 780-2800

## Contact information

- **Practice address:** 300 HARDING BLVD, SUITE 213, ROSEVILLE, CA 95678-2470
- **Practice address phone:** (916) 780-2800
- **Mailing address:** 300 HARDING BLVD, SUITE 213, ROSEVILLE, CA 95678-2470
- **Mailing address phone:** (916) 780-2800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC24046 | CA | — |
| 208D00000X | General Practice Physician | A066088 | CA | Yes |

## Other

- **Enumeration date:** 08/01/2011
- **Last updated:** 08/01/2011