Organization
BURCH CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA JEAN KELLY (CHIROPRACTIC ASSISTANT)
(704) 694-6585
Entity
Organization
Contact information
Practice address
308 E CASWELL ST, WADESBORO, NC 28170-2243
(704) 694-6585
(704) 694-6587
Mailing address
308 E CASWELL ST, WADESBORO, NC 28170-2243
(704) 694-6585
(704) 694-6587
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2597
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0833Y
BCBS PROVIDER NUMBER
NC
05
—
890833Y
—
NC
01
—
P00106156
RAILROAD MEDICARE PROV #
NY
Enumeration date
01/08/2007
Last updated
08/22/2020
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