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Individual

DR. DWAYNE E THOMAS II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
5527 MONROE RD, CHARLOTTE, NC 28212
(704) 568-2447
(704) 568-2591
Mailing address
5527 MONROE RD, CHARLOTTE, NC 28212-5503
(704) 568-2447
(704) 568-2591

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1534
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08844
BLUE CROSS/BLUE SHIELD
NC
05
7908844
NC
Enumeration date
12/07/2005
Last updated
06/15/2018
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