Organization
WEST LAKE CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER J MELLING DC (CHIROPRACTOR)
(704) 489-1999
Entity
Organization
Contact information
Practice address
275 N HIGHWAY 16, SUITE 102, DENVER, NC 28037-3000
(704) 489-1999
Mailing address
275 N HIGHWAY 16, SUITE 102, DENVER, NC 28037-3000
(704) 489-1999
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2447
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02820
BCBS GROUP #
NC
Enumeration date
08/17/2006
Last updated
12/28/2011
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