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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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