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NPI Code Detail

MEDICARE: DR. PARKER WARD III D.C.

MEDICARE: DR. PARKER WARD III D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCHIR009717GA
2111N00000XChiropractor5106NC

General Provider Information

NPI Number : 1871032979
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PARKER WARD III D.C.
Provider Business Mailing Address
First Line : 105 WAXHAW PROFESSIONAL PARK DR STE A
Second Line :
City : WAXHAW
State : NC
Zip : 28173-5018
Country : US
Telephone Number : 704-243-1010
Fax Number :
Provider Business Practice Location Address
First Line : 105 WAXHAW PROFESSIONAL PARK DR STE A
Second Line :
City : WAXHAW
State : NC
Zip : 28173-5018
Country : US
Telephone Number : 704-243-1010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2017
Last Update Date : 01/18/2022

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