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Organization

CAROLINA CHIROPRACTIC & WELLNESS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL TODD SHIPLEY DC (OWNER)
(704) 892-1010
Entity
Organization

Contact information

Practice address
17115 KENTON DR, SUITE 206 A, CORNELIUS, NC 28031-5645
(704) 892-1010
(704) 892-1074
Mailing address
17115 KENTON DR, SUITE 206 A, CORNELIUS, NC 28031-5645
(704) 892-1010
(704) 892-1074

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
017V7
BLUE CROSS BLUE SHIELD
NC
Enumeration date
09/20/2006
Last updated
08/22/2020
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