Individual
DR. TINA MARIE DRISCOLL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1171 N BRAGG BLVD, SPRING LAKE, NC 28390-3116
(910) 436-5000
(910) 436-7705
Mailing address
508 GLENOLA ST, FAYETTEVILLE, NC 28311-3206
(910) 822-3221
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1830
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013FC
BCBS PROVIDER NO.
NC
05
—
89085GR
—
NC
Enumeration date
07/06/2005
Last updated
07/08/2007
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