Healthcare Provider Details

I. General information

NPI: 1508509225
Provider Name (Legal Business Name): CALVIN CHARLES SAUNDERS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2022
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4832 PARK RD STE J
CHARLOTTE NC
28209-4206
US

IV. Provider business mailing address

245 EXECUTIVE PARK BLVD
WINSTON SALEM NC
27103-1503
US

V. Phone/Fax

Practice location:
  • Phone: 704-919-1076
  • Fax:
Mailing address:
  • Phone: 893-133-6293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5489
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: