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Organization
ROCKY MOUNT CHIROPRACTIC INC
Active
Organization
ROCKY MOUNT CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA FAYE CALLAWAY (OFFICE MANAGER)
(540) 483-7620
Entity
Organization
Contact information
Practice address
546 PELL AVE, ROCKY MOUNT, VA 24151
(540) 483-7620
(540) 483-7739
Mailing address
546 PELL AVE, ROCKY MOUNT, VA 24151
(540) 483-7620
(540) 483-7739
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001373
VA
111N00000X
Chiropractor
0104001574
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260654
BCBS
VA
01
—
337526
BCBS
VA
01
—
5900064
AETNA
—
01
—
7470475
AETNA
—
Enumeration date
01/22/2007
Last updated
08/22/2020
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