Organization
CARTER COUNTY CHIROPRACTIC
Active
Parent organization
CARTER COUNTY CHIROPRACTIC
Other names
American Health Centers of Grayson
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARTER COUNTY CHIROPRACTIC
Authorized official
JULIE A LEIST (BILLING MANAGER)
(740) 622-7108
Entity
Organization
Contact information
Practice address
186 INTERSTATE DR, GRAYSON, KY 41143-1787
(606) 475-0000
(606) 474-0954
Mailing address
186 INTERSTATE DR, GRAYSON, KY 41143-1787
(606) 475-0000
(606) 474-0954
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5109
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000206230
ANTHEM
KY
05
—
85000818
—
KY
Enumeration date
07/10/2006
Last updated
10/11/2012
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