Organization
THE WELLNESS CENTER OF THE OUTER BANKS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL GOLDBERG D.C. (PRESIDENT)
(252) 261-5424
Entity
Organization
Contact information
Practice address
3723 N. CROATAN HWY, UNIT G, KITTY HAWK, NC 27949
(252) 261-5424
(252) 261-5324
Mailing address
PO BOX 262, 3723 N. CROATAN HWY, KITTY HAWK, NC 27949-0262
(252) 261-5424
(252) 261-5324
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1672
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0844A
BLUE CROSS BLUE SHIELD OF NC
NC
05
—
890844A
—
NC
Enumeration date
02/18/2010
Last updated
02/18/2010
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