Healthcare Provider Details

I. General information

NPI: 1609781442
Provider Name (Legal Business Name): CAMEL CITY CHIROPRACTIC AND INJURY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6040 HOLDER RD
CLEMMONS NC
27012-8315
US

IV. Provider business mailing address

6040 HOLDER RD
CLEMMONS NC
27012-8315
US

V. Phone/Fax

Practice location:
  • Phone: 336-409-3606
  • Fax: 336-409-3606
Mailing address:
  • Phone: 336-409-3606
  • Fax: 336-409-3606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: ZACH WEINSTEIN
Title or Position: OWNER
Credential: D.C
Phone: 336-409-3606