Individual
DR. JONATHAN ERIC NANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4902 FAYETTEVILLE RD, LUMBERTON, NC 28358-2110
(910) 739-6000
(910) 739-1792
Mailing address
4902 FAYETTEVILLE RD, LUMBERTON, NC 28358-2110
(910) 739-6000
(910) 739-1792
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3149
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085YN
BCBSNC
NC
05
—
5904325
—
NC
Enumeration date
11/15/2006
Last updated
07/09/2007
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