Organization
CONOVER CHIROPRACTIC CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD KEARNS DAVIS JR. DC (PRESIDENT)
(828) 464-7791
Entity
Organization
Contact information
Practice address
408 1ST AVE S, CONOVER, NC 28613-2704
(828) 464-7791
(828) 465-4062
Mailing address
408 1ST AVE S, CONOVER, NC 28613-2704
(828) 464-7791
(828) 465-4062
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
1387
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08341
BLUE CROSS
NC
05
—
1609976497
—
NC
05
—
8908341
—
NC
Enumeration date
09/22/2006
Last updated
11/12/2009
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