Organization
REK LTD
Active
Other names
Russell Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C. THOMAS RUSSELL D.C. (CHIROPRACTOR)
(828) 328-2551
Entity
Organization
Contact information
Practice address
912 3RD AVE NW, HICKORY, NC 28601-4849
(828) 328-2551
(828) 328-2955
Mailing address
912 3RD AVE NW, HICKORY, NC 28601-4849
(828) 328-2551
(828) 328-2955
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
804
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01941
CNC
NC
01
—
08779
BCBS OF NC
NC
05
—
8908779
—
NC
Enumeration date
11/06/2006
Last updated
07/08/2009
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