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Organization

CHIROPRACTIC PLUS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SALVATORE COSIMO DANIELE DC (PRESIDENT)
(910) 480-1111
Entity
Organization

Contact information

Practice address
9553 CLIFFDALE RD, FAYETTEVILLE, NC 28304-5956
(910) 480-1111
(910) 480-1113
Mailing address
439 WESTWOOD SHOPPING CTR #5, FAYETTEVILLE, NC 28314-1532
(910) 480-1111
(910) 480-1113

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3330
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
085UX
BLUE CROSS BLUE SHIELD
NC
01
662673
AMERICAN CHIRO. NETWORK
NC
05
89085UX
NC
Enumeration date
08/28/2006
Last updated
08/22/2020
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