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Individual

DR. TIM DENNIS TREANOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
4161 CAPITAL DRIVE, ROCKY MOUNT, NC 27804-3128
(252) 903-3103
(252) 210-3489
Mailing address
4161 CAPITAL DRIVE, ROCKY MOUNT, NC 27804-3128
(252) 903-3103
(252) 210-3489

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
NC2457
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0828Y
BCBS
NC
01
1154362952
CNC/MC/MD
NC
05
1154362952
NC
05
890828Y
NC
Enumeration date
06/10/2006
Last updated
04/22/2013
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