MEDICARE: CARE CHIROPRACTIC PC

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
1	111N00000X	Chiropractor	2500	NC

General Provider Information

NPI Number	:	1972754760
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE CHIROPRACTIC PC

Provider Business Mailing Address
First Line	:	5041 SIX FORKS RD STE 105
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-4494
Country	:	US
Telephone Number	:	919-786-9996
Fax Number	:	919-786-9676

Provider Business Practice Location Address
First Line	:	5041 SIX FORKS RD STE 105
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-4494
Country	:	US
Telephone Number	:	919-786-9996
Fax Number	:	919-786-9676

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. FOTINE SOPHIA MYERS
Credential	:	D.C.
Telephone Number	:	919-786-9996

Provider Enumeration Date	:	10/10/2008
Last Update Date	:	07/12/2023

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