Organization
BAIRD CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BONNIE SMITHYMAN BAIRD DC CCSP (PRESIDENT)
(919) 557-5811
Entity
Organization
Contact information
Practice address
320 N JUDD PKWY NE, STE 102, FUQUAY VARINA, NC 27526-2624
(919) 557-5811
(919) 557-8236
Mailing address
320 N JUDD PKWY NE, STE 102, FUQUAY VARINA, NC 27526-2624
(919) 557-5811
(919) 557-8236
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1670
NC
111NS0005X
Sports Physician Chiropractor
Primary
1670
NC
332BC3200X
Customized Equipment (DME)
1670
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0809A
BCBS
—
01
—
330573
ACN
—
01
—
6320398
CIGNA
—
Enumeration date
11/08/2006
Last updated
02/18/2014
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