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Organization

RAVENSCROFT 58 INC

Active
Other names
Haywood Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
CRAIG EDWARD GIBSON SR. DC (OWNER)
(828) 456-5700
Entity
Organization

Contact information

Practice address
136 WAYNESVILLE PLAZA, STE 1, WAYNESVILLE, NC 28786
(828) 456-5700
(828) 456-5728
Mailing address
136 WAYNESVILLE PLAZA, STE 1, WAYNESVILLE, NC 28786
(828) 456-5700
(828) 456-5728

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1700
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
890882F
NC
Enumeration date
11/18/2005
Last updated
01/13/2010
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