Organization
FREDERICK CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR FREDERICK DC (MANAGING MEMBER)
(561) 358-1451
Entity
Organization
Contact information
Practice address
10310 MONCREIFFE RD STE 103, RALEIGH, NC 27617-7814
(561) 358-1451
Mailing address
1218 TAYLOR CT APT A, CARY, NC 27511-4995
(561) 358-1451
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4860
NC
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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