Individual
DR. CECIL TODD CORVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
375 HOSPITAL ST STE 100, MOCKSVILLE, NC 27028-2087
(336) 753-0056
(336) 753-0056
Mailing address
375 HOSPITAL ST STE 100, MOCKSVILLE, NC 27028-2087
(336) 753-0056
(336) 753-0056
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3207
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085TX
BLUE CROSS
NC
Enumeration date
10/06/2006
Last updated
07/08/2007
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