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NPI Code Detail

MEDICARE: GVR CHIROPRACTIC, PLLC

MEDICARE: GVR CHIROPRACTIC, PLLC
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1902751696
Entity Type Code : Organization
Provider Name (Legal Business Name) : GVR CHIROPRACTIC, PLLC
Provider Business Mailing Address
First Line : 2626 GLENWOOD AVE STE 550
Second Line :
City : RALEIGH
State : NC
Zip : 27608-1370
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10716 CARMEL COMMONS BLVD STE 130
Second Line :
City : CHARLOTTE
State : NC
Zip : 28226-3926
Country : US
Telephone Number : 704-610-5366
Fax Number :
Authorized Official
Title or Position : OWNER/ MEMBER
Name : GRANT RIVERA
Credential : DC
Telephone Number : 305-528-5755
Provider Enumeration Date : 02/27/2026
Last Update Date : 02/27/2026

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Directions to “GVR CHIROPRACTIC, PLLC ” Practice Location

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