Individual
MARK A THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
806 HINES ST W, WILSON, NC 27893-3022
(252) 237-2166
(252) 237-2167
Mailing address
806 HINES ST W, WILSON, NC 27893-3022
(252) 237-2166
(252) 237-2167
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1614
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0186U
BCBS GROUP
NC
01
—
0883R
BCBSNC
NC
05
—
890186U
—
NC
05
—
890883R
—
NC
Enumeration date
09/27/2006
Last updated
11/18/2014
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