Individual
DR. DAVID DILLON PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
851 OLD WINSTON RD, SUITE 105, KERNERSVILLE, NC 27284-8780
(336) 993-9690
(336) 993-9692
Mailing address
851 OLD WINSTON RD, SUITE 105, KERNERSVILLE, NC 27284-8780
(336) 993-9690
(336) 993-9692
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2776
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0847M
BLUE CROSS BLUE SHIELD
NC
05
—
890847M
—
NC
Enumeration date
04/14/2006
Last updated
07/08/2007
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