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NPI Code Detail

MEDICARE: ANQUONETTE STILES DC

MEDICARE:   ANQUONETTE  STILES  DC
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
1111N00000XChiropractor4016NC
2111N00000XChiropractor8530GA

General Provider Information

NPI Number : 1932598687
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANQUONETTE STILES DC
Provider Business Mailing Address
First Line : 6112 SAINT GILES ST
Second Line : #200
City : RALEIGH
State : NC
Zip : 27612-7043
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6112 SAINT GILES ST
Second Line :
City : RALEIGH
State : NC
Zip : 27612-7043
Country : US
Telephone Number : 919-782-3870
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2015
Last Update Date : 12/01/2016

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Directions to “ ANQUONETTE STILES DC” Practice Location

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