Organization
GROSMAN CHIROPRACTIC CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY W GROSMAN DC (OWNER)
(336) 292-9779
Entity
Organization
Contact information
Practice address
5410 W FRIENDLY AVE, GREENSBORO, NC 27410-4210
(336) 292-9779
(336) 292-9953
Mailing address
5410 W FRIENDLY AVE, GREENSBORO, NC 27410-4210
(336) 292-9779
(336) 292-9953
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
924
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
244219
MEDICARE PTAN
NC
Enumeration date
05/18/2015
Last updated
07/27/2015
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