Organization
MONTGOMERY COUNTY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE MICHEAL BRIDGE DC (OWNER)
(910) 572-2268
Entity
Organization
Contact information
Practice address
1024 ALBEMARLE RD, TROY, NC 27371-8684
(910) 572-2268
(910) 572-5667
Mailing address
1024 ALBEMARLE RD, TROY, NC 27371-8684
(910) 572-2268
(910) 572-5667
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2419
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0828L
BLUE CROSS BLUE SHIELD
NC
05
—
890828L
—
NC
Enumeration date
11/02/2006
Last updated
08/22/2020
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