Organization
CRANBERRY SQUARE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE D HICKS DC (OWNER)
(508) 394-1625
Entity
Organization
Contact information
Practice address
BOX 562, S YARMOUTH, MA 02664-0562
(508) 394-1625
Mailing address
24 ROUTE 134, SUITE 3, SOUTH DENNIS, MA 02660-3739
(508) 394-1625
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2727
MA
Other
Enumeration date
02/14/2007
Last updated
05/20/2009
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