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Organization

CAGLE CHIROPRACTIC, PLLC

Active
Other names
Cagle Chiropractic Neck & Back Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LARRY SHAWN CAGLE D.C. (OWNER)
(252) 332-1990
Entity
Organization

Contact information

Practice address
403 MAIN ST W, AHOSKIE, NC 27910-3321
(252) 332-1990
(252) 332-7620
Mailing address
PO BOX 823, AHOSKIE, NC 27910-0823
(252) 332-1990
(252) 332-7620

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
2075
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
$$$$$$$$$
V. L. CAGLE'S SSN
NC
01
0829T
V.. L. CAGLE'S BCBSNC #
NC
01
0829U
L. S. CAGLE'S BCBSNC #
NC
05
890829U
NC
Enumeration date
02/08/2007
Last updated
08/22/2020
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