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Individual

DR. ANTHONY VINCENT SANTANGELO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
751 S MAIN ST, RAEFORD, NC 28376-3258
(910) 875-2500
(910) 904-1300
Mailing address
751 S MAIN ST, RAEFORD, NC 28376-3258
(910) 875-2500

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2376
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0828R
BC/BS
NC
01
1841255635
NPI ORGANIZATION TYPE
NC
01
2451534A
MEDICARE
NC
05
890828R
NC
01
FH7000190
FIRST CAROLINA
Enumeration date
02/27/2008
Last updated
02/27/2008
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