Organization
MACKENZIE CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL GLENN MACKENZIE D.C. (OWNER)
(336) 887-1515
Entity
Organization
Contact information
Practice address
205 WESTCHESTER DR, HIGH POINT, NC 27262-7838
(336) 887-1515
(336) 887-3966
Mailing address
205 WESTCHESTER DR, HIGH POINT, NC 27262-7838
(336) 887-1515
(336) 887-3966
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1210
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08625
BCBS ID#
NC
01
—
330321
A.C.N. ID#
NC
01
—
7543341
AETNA ID#
NC
05
—
8908625
—
NC
Enumeration date
06/01/2006
Last updated
08/22/2020
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