Organization
INNATE CHIROPRACTIC GROUP, INC.
Active
Other names
Rockingham Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACEY B FULP (OFFICE MGR.)
(336) 623-6100
Entity
Organization
Contact information
Practice address
1009 S VAN BUREN RD, EDEN, NC 27288-5343
(336) 623-6100
(336) 623-5100
Mailing address
1009 S. VAN BUREN ROAD, EDEN, NC 27288-5343
(336) 623-6100
(336) 623-5100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2499
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0831M
BCBS
NC
Enumeration date
09/20/2006
Last updated
05/14/2008
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