Organization
JACKSONVILLE CHIROPRACTIC & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J TAYLOR D.C. (OWNER)
(919) 738-1214
Entity
Organization
Contact information
Practice address
1201 GUM BRANCH RD, JACKSONVILLE, NC 28540-5016
(910) 455-6696
Mailing address
1802 E ASH ST, GOLDSBORO, NC 27530-4045
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2621
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2453394A
MEDICARE PROVIDER NUMBER
—
05
—
890837V
—
NC
Enumeration date
02/11/2010
Last updated
07/29/2010
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