Individual
JAMES STEVEN DEMETRIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4837 CAROLINA BEACH RD, SUITE 205, WILMINGTON, NC 28412-2368
(910) 790-8020
(910) 790-8038
Mailing address
4837 CAROLINA BEACH RD, SUITE 205, WILMINGTON, NC 28412-2368
(910) 790-8020
(910) 790-8038
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1976
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2452083
MEDICARE P TAN NUMBER
NC
05
—
890829P
—
NC
Enumeration date
07/28/2006
Last updated
02/25/2013
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