Individual
DR. WENDY RENEE PAVKOV-POPOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
401 COOPER DR, CLINTON, NC 28328-2817
(910) 592-2250
Mailing address
216 CROSSFIRE RD, HOLLY SPRINGS, NC 27540-8560
(919) 577-3974
(919) 577-6351
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2885
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085J2
BC/BS PROVIDER NUMBER
NC
05
—
89085J2
—
NC
Enumeration date
06/13/2006
Last updated
03/17/2018
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