Individual
DR. TIMOTHY WAYNE LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
215 BRANCHVIEW DR NE, CONCORD, NC 28025-3416
(704) 784-1711
(704) 784-9161
Mailing address
215 BRANCHVIEW DR NE, CONCORD, NC 28025-3416
(704) 784-1711
(704) 784-9161
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1384
SC
111N00000X
Chiropractor
Primary
1786
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08220
BCBS OF NC PROVIDER #
NC
01
—
2447014D
MEDICARE
NC
05
—
7908220
—
NC
Enumeration date
06/21/2005
Last updated
03/30/2017
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