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Organization

CENTRAL CAROLINA CHIROPRACTIC CLINIC, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANNY LEE TYNDALL D.C. (PRESIDENT)
(336) 629-7246
Entity
Organization

Contact information

Practice address
103 W WAINMAN AVE, ASHEBORO, NC 27203-5623
(336) 629-7246
(336) 629-1984
Mailing address
103 W WAINMAN AVE, ASHEBORO, NC 27203-5623
(336) 629-7246
(336) 629-1984

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
1478
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08881
BCBS
NC
05
8908881
NC
Enumeration date
05/08/2007
Last updated
08/22/2020
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