Individual
DR. GARRETT J ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
14051 EAST INDEPENDENCE BLVD, INDIAN TRAIL, NC 28079-1821
(704) 626-9222
Mailing address
608 BROADWAY ST, SMACKOVER, AR 71762-1821
(870) 725-1112
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3953
SC
111N00000X
Chiropractor
Primary
4509
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350044294
RAILROAD MEDICARE
AR
01
—
71-0805923
TAX ID
AR
Enumeration date
06/03/2006
Last updated
10/20/2014
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