Individual
DR. MARK VARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2825 WENDELL BLVD, WENDELL, NC 27591
(919) 366-3111
(919) 366-3111
Mailing address
PO BOX 92, WENDELL, NC 27591-0092
(919) 366-3111
(919) 366-3366
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2783
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0841R
BCBS
NC
01
—
612671
ACN
—
05
—
890841P
—
NC
Enumeration date
09/26/2006
Last updated
07/08/2007
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