Individual
CHERYL ANN HANLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
106 W CHURCH ST STE E, CREEDMOOR, NC 27522-9765
(919) 528-7290
(919) 528-7297
Mailing address
106E WEST CHURCH ST, PO BOX 786, CREEDMOOR, NC 27522
(919) 528-7290
(919) 528-7292
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3380
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2458179A
MEDICARE PTAN
NC
Enumeration date
02/27/2006
Last updated
01/07/2009
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