Organization
KERNERSVILLE CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARIAN JUSTIN SMITH D.C. (OWNER)
(336) 996-2462
Entity
Organization
Contact information
Practice address
127 N MAIN ST, KERNERSVILLE, NC 27284-2815
(336) 996-2462
(336) 996-9878
Mailing address
PO BOX 707, KERNERSVILLE, NC 27285-0707
(336) 996-2462
(336) 996-9878
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1999
NC
111N00000X
Chiropractor
3796
NC
111N00000X
Chiropractor
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2448242
MEDICARE NUMBER
NC
01
—
2456015
MEDICARE NUMBER
NC
05
—
5908470
—
NC
05
—
890879B
—
NC
Enumeration date
04/04/2008
Last updated
03/28/2018
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