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Organization

BACK TO HEALTH CMC INC

Active
Other names
Back To Health INC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH BROWN DC (PRESIDENT)
(919) 544-8881
Entity
Organization

Contact information

Practice address
6224 FAYETTEVILLE RD, SUITE 106B, DURHAM, NC 27713-6288
(919) 544-8881
(919) 544-8889
Mailing address
PO BOX 52148, DURHAM, NC 27717-2148
(919) 544-8881
(919) 544-8889

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2687
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
085FR
BCBS
NC
01
621714
ACN
NC
05
890839W
NC
Enumeration date
11/28/2006
Last updated
08/22/2020
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