Organization
GILEAD CHIROPRACTIC CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MARINA III DC (PRESIDENT)
(704) 399-3794
Entity
Organization
Contact information
Practice address
3000 BEATTIES FORD RD, CHARLOTTE, NC 28216-3732
(704) 399-3794
Mailing address
PO BOX 19052, CHARLOTTE, NC 28219-9052
(704) 399-3794
(704) 697-9812
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3063
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085TR
BCBS STATE PLAN
NC
Enumeration date
03/23/2006
Last updated
11/30/2009
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