Organization
O DONAHUE CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M O'DONAHUE JR. D.C. (DOCTOR)
(252) 756-0837
Entity
Organization
Contact information
Practice address
915 E FIRE TOWER RD STE 104, O DONAHUE CHIROPRACTIC PC, WINTERVILLE, NC 28590-9398
(252) 756-0837
(252) 756-7718
Mailing address
915 E FIRE TOWER RD STE 104, O DONAHUE CHIROPRACTIC PC, WINTERVILLE, NC 28590-9398
(252) 756-0837
(252) 756-7718
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2740
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2454001
MEDICARE P-TAN
NC
Enumeration date
09/20/2006
Last updated
12/15/2014
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