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Individual

DR. DERRICK W DENMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
484 WILLIAMSON RD, MOORESVILLE, NC 28117
(704) 799-0939
(704) 799-0935
Mailing address
PO BOX 3726, MOORESVILLE, NC 28117
(704) 799-0939
(704) 799-0935

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1656
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
790186C
NC
Enumeration date
10/02/2006
Last updated
01/10/2013
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