Organization
CROSS CREEK CHIROPRACTIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY LEE THORNE D.C. (CHIROPRACTOR/ OWNER)
(910) 323-5522
Entity
Organization
Contact information
Practice address
517 BEAUMONT RD, FAYETTEVILLE, NC 28304-4424
(910) 323-5522
Mailing address
517 BEAUMONT RD, FAYETTEVILLE, NC 28304-4424
(910) 323-5522
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1753
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013GN
BCBS
NC
05
—
89013GN
—
NC
Enumeration date
09/14/2006
Last updated
11/24/2014
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