Organization
FENTON CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE JOHN FENTON D.C. (OWNER/PRESIDENT)
(828) 635-7400
Entity
Organization
Contact information
Practice address
101 7TH ST SW, TAYLORSVILLE, NC 28681-2409
(282) 635-7400
(828) 635-7415
Mailing address
PO BOX 429, TAYLORSVILLE, NC 28681-0429
(828) 635-7400
(282) 635-7415
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2041
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0822G
BLUE CROSS BLUE SHIELD
NC
01
—
561971088
CNC
NC
05
—
890822G
—
NC
01
—
EWNA78
ACN
NC
Enumeration date
08/14/2006
Last updated
04/05/2013
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