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Organization

CREEDMOOR WELLNESS CENTER, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHERYL ANN HANLY DC (OWNER)
(919) 528-7290
Entity
Organization

Contact information

Practice address
106 W CHURCH ST STE E, CREEDMOOR, NC 27522-9765
(919) 528-7290
(919) 528-7297
Mailing address
PO BOX 786, CREEDMOOR, NC 27522-0786
(919) 528-7290
(919) 528-7292

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3380
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2458179A
MEDICARE PTAN
NC
Enumeration date
01/05/2009
Last updated
01/05/2009
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