Individual
THOMAS KERVIN ANDERSEN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4517 LEAD MINE RD, RALEIGH, NC 27612-3326
(919) 781-8830
(919) 781-1678
Mailing address
4517 LEAD MINE RD, RALEIGH, NC 27612-3326
(919) 781-8830
(919) 781-1678
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5191
NC
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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