Individual
TOMMIE D CLEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
315 PAGE RD N STE 11, PINEHURST, NC 28374-0087
(910) 295-1215
(910) 295-1814
Mailing address
921 E BROAD AVE, ROCKINGHAM, NC 28379-4338
(910) 895-6042
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1825
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0846H
BLUE CROSS/BLUE SHIELD
NC
05
—
890846H
—
NC
01
—
FH7000200
FIRST CAROLINA CARE
NC
Enumeration date
10/04/2005
Last updated
12/04/2019
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