Individual
DR. BONNIE SMITHYMAN BAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC CCSP
Contact information
Practice address
320 N JUDD PRKWY NE, STE 102, FUQUAY VARINA, NC 27526
(919) 557-5811
(919) 557-8236
Mailing address
320 N JUDD PRKWY NE, STE 102, FUQUAY VARINA, NC 27526
(919) 557-5811
(919) 557-8236
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1670NC
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0809A
BCBS
—
01
—
330573
ACN
—
01
—
6320398
CIGNA
—
Enumeration date
11/30/2006
Last updated
03/18/2014
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