Organization
PARADIGM CARE GROUP PA
Active
Other names
Dynamic Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER T COX JR. D.C. (CEO)
(704) 525-6288
Entity
Organization
Contact information
Practice address
5215 SOUTH BLVD STE A, CHARLOTTE, NC 28217-2771
(704) 525-6288
(704) 525-6384
Mailing address
5215 SOUTH BLVD STE A, CHARLOTTE, NC 28217-2771
(704) 525-6288
(704) 525-6384
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2468
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104H
BLUECROSS BLUESHIELD
—
01
—
017U5
BLUECROSS BLUESHIELD
—
05
—
7211998
—
NC
05
—
790104H
—
NC
Enumeration date
08/11/2006
Last updated
01/31/2011
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