Individual
DR. RENEE D. GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
5200 PARK RD STE 126, CHARLOTTE, NC 28209-3675
(704) 350-9990
(704) 303-9369
Mailing address
PO BOX 19982, CHARLOTTE, NC 28219-0982
(704) 697-9818
(704) 697-9812
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2491
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01108
NC STATE HEALTH PLAN
NC
01
—
0833M
CHIROPRACTIC NETWORK BCBS
NC
05
—
8901108
—
NC
Enumeration date
12/11/2006
Last updated
06/27/2012
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