Individual
DR. COLIN R. CADDELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3608 W FRIENDLY AVE, 204, GREENSBORO, NC 27410-4865
(336) 294-1273
(336) 294-1274
Mailing address
3608 W FRIENDLY AVE, 204, GREENSBORO, NC 27410-4865
(336) 294-1273
(336) 294-1274
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1151
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08299
BLUE CROSS OF NC NUMBER
NC
Enumeration date
12/09/2005
Last updated
07/09/2007
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