Healthcare Provider Details

I. General information

NPI: 1417071234
Provider Name (Legal Business Name): TADAAR, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 09/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 HWY 64 EAST
CASHIERS NC
28717
US

IV. Provider business mailing address

PO BOX 1853
CASHIERS NC
28717-1853
US

V. Phone/Fax

Practice location:
  • Phone: 828-743-9070
  • Fax: 828-743-6370
Mailing address:
  • Phone: 828-743-9070
  • Fax: 828-743-6370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number847
License Number StateNC

VIII. Authorized Official

Name: DR. JIM W JOHNSON
Title or Position: PHYSICIAN
Credential: D.C.
Phone: 828-743-9070