Organization
EDGERTON CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID EZRA EDGERTON D.C. (OWNER)
(704) 434-9130
Entity
Organization
Contact information
Practice address
421 SOUTH MAIN STREET, SHELBY, NC 28152
(704) 434-9130
(704) 434-9142
Mailing address
PO BOX 1141, BOILING SPRINGS, NC 28017
(704) 434-9130
(704) 434-9923
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
1735
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0858G
BLUE CROSS BLUE SHIELD
NC
05
—
890858G
—
NC
Enumeration date
02/14/2007
Last updated
05/23/2018
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