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Individual

CHRISTOPHER A DEGEORGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3302 S NEW HOPE RD, SUITE 100 F, GASTONIA, NC 28056-8317
(704) 879-9071
(704) 879-9073
Mailing address
3302 S NEW HOPE RD, SUITE 100 F, GASTONIA, NC 28056-8317
(704) 879-9071
(704) 879-9073

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3713
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0855X
BLUE CROSS BLUE SHIELD
NC
01
3713
CHIROPRACTIC LICENSE #
NC
Enumeration date
05/03/2007
Last updated
02/03/2011
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