Individual
DR. CHARLES ALAN RISSEW JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8600 SAM FURR RD, SUITE 180, HUNTERSVILLE, NC 28078-6138
(704) 892-2282
(704) 892-2630
Mailing address
8600 SAM FURR RD, SUITE 180, HUNTERSVILLE, NC 28078-6138
(704) 892-2282
(704) 892-2630
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2878
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085EU
BCBS ID NUMBER
NC
05
—
89085EU
—
NC
Enumeration date
11/30/2006
Last updated
07/08/2007
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