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Contact Information

BACK TO HEALTH SOUTHPOINT
6224 FAYETTEVILLE RD
106B
DURHAM, NC27713-6288
 Phone: 919-544-8881
 Fax: 919-544-8889
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BACK TO HEALTH SOUTHPOINT · (Female)

NPI Number 1164801155
Status Active
Credentials
Entity Individual
Enumeration date 05/22/2015
Last updated 05/22/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 2687
  • NC Other 085FR BCBS
  • NC Other 1252060 COVENTRY
  • NC Other 621714 UNITED HEALTH CARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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