Organization
PORTERS NECK CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN LESLIE LONGMAN DC (CO-OWNER)
(910) 686-6508
Entity
Organization
Contact information
Practice address
8207 MARKET ST, SUITE D, WILMINGTON, NC 28411-8889
(910) 686-6508
(910) 686-8416
Mailing address
8207 MARKET ST, SUITE D, WILMINGTON, NC 28411-8889
(910) 686-6508
(910) 686-8416
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013N6
BLUE CROSS BLUE SHIELD
NC
Enumeration date
10/27/2006
Last updated
08/22/2020
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