Organization
WYNNE CHIROPRACTIC CTR PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KEVIN WYNNE DC (OWNER)
(910) 799-2225
Entity
Organization
Contact information
Practice address
3420A WRIGHTSVILLE AVE, WILMINGTON, NC 28403-4118
(910) 799-2225
(910) 799-6612
Mailing address
3420A WRIGHTSVILLE AVE, WILMINGTON, NC 28403-4118
(910) 799-2225
(910) 799-6612
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08946
BCBS
NC
05
—
8908946
—
NC
Enumeration date
11/08/2006
Last updated
08/22/2020
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