Organization
CHEUVRONT CLINIC OF CHIROPRACTIC & SPORTS MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY SHAWN CHEUVRONT DC (OWNER DOCTOR)
(704) 841-2200
Entity
Organization
Contact information
Practice address
455 W JOHN ST, MATTHEWS, NC 28105-5354
(704) 841-2200
(704) 841-2534
Mailing address
455 W JOHN ST, MATTHEWS, NC 28105-5354
(704) 841-2200
(704) 841-2534
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2128
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0872E
BLUE CROSS BLUE SHIELD
NC
01
—
5315633
AETNA
NC
05
—
890872E
—
NC
Enumeration date
09/16/2006
Last updated
10/23/2024
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