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Organization

BLANKENSHIP CHIROPRACTIC CLINIC, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RADFORD HAROLD BLANKENSHIP D.C. (OWNER)
(704) 873-7068
Entity
Organization

Contact information

Practice address
1953 WILKESBORO HWY, STATESVILLE, NC 28625-8737
(704) 873-7068
(704) 871-9974
Mailing address
1953 WILKESBORO HWY, STATESVILLE, NC 28625-8737
(704) 873-7068
(704) 871-9974

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
717
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89013AO
NC
Enumeration date
07/01/2006
Last updated
12/06/2010
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