Individual
DR. REBECCA RUSSELL BOLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
155 WEST MILLS STREET, SUITE 201, COLUMBUS, NC 28722
(843) 307-8782
(888) 970-1470
Mailing address
1564 C.C. RD., RUTHERFORDTON, NC 28139
(843) 307-8782
(888) 970-1470
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3166
SC
111N00000X
Chiropractor
Primary
4392
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH3166
—
SC
Enumeration date
08/14/2006
Last updated
06/29/2022
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