Organization
WAKE SPINE AND DISC INC
Active
Other names
knightdale chiropractic, pa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FLOYD SAMUEL CRITORIA D.C. (PRESIDENT)
(919) 266-6416
Entity
Organization
Contact information
Practice address
1008A BIG OAK CT, KNIGHTDALE, NC 27545-8841
(919) 266-6416
(919) 266-2128
Mailing address
1008A BIG OAK CT, KNIGHTDALE, NC 27545-8841
(919) 266-6416
(919) 266-2128
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1531
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275626764
INDIVIDUAL NPI
NC
01
—
1821277021
GROUP MEDICARE NPI
NC
01
—
2349123
GROUP MEDICARE PTAN
NC
05
—
8908424
—
NC
Enumeration date
10/24/2007
Last updated
03/29/2016
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