Organization
PROHEALTH & WELLNESS CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMMOTHY P CLARE DC (DR.)
(704) 583-6129
Entity
Organization
Contact information
Practice address
10955 WINDS CROSSING DR STE 400, CHARLOTTE, NC 28273-6778
(704) 583-6129
(704) 583-6146
Mailing address
10955 WINDS CROSSING DR STE 400, CHARLOTTE, NC 28273-6778
(704) 583-6129
(704) 583-6146
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2263
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0181L
BCBS NO.
NC
05
—
890826F
—
NC
Enumeration date
04/09/2007
Last updated
08/22/2020
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