Organization
PIEDMONT CHIROPRACTIC CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DILLON PARKS D.C. (OWNER)
(336) 993-9690
Entity
Organization
Contact information
Practice address
851 OLD WINSTON ROAD, SUITE 105, KERNERSVILLE, NC 27284-8781
(336) 993-9690
(336) 993-9692
Mailing address
851 OLD WINSTON ROAD, SUITE 105, KERNERSVILLE, NC 27284-8781
(336) 993-9690
(336) 993-9692
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
2776
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0847M
BLUE-CROSS/ BLUE SHIELD
NC
05
—
890847M
—
NC
Enumeration date
09/13/2006
Last updated
08/06/2007
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