Individual
SAMUEL ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
300 N TERRACE PL, MORGANTON, NC 28655-3753
(828) 438-1153
(828) 438-1162
Mailing address
300 N TERRACE PL, MORGANTON, NC 28655-3753
(828) 438-1153
(828) 438-1162
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2895
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0849K
BCBS
NC
05
—
890849K
—
NC
Enumeration date
10/04/2006
Last updated
04/30/2012
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