Healthcare Provider Details

I. General information

NPI: 1588772131
Provider Name (Legal Business Name): OXFORD ACCIDENT AND INJURY CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 HILLSBORO ST STE D
OXFORD NC
27565-3274
US

IV. Provider business mailing address

304 HILLSBORO ST STE D
OXFORD NC
27565-3274
US

V. Phone/Fax

Practice location:
  • Phone: 919-693-3577
  • Fax: 919-693-3582
Mailing address:
  • Phone: 919-693-3577
  • Fax: 919-693-3582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3075
License Number StateNC

VIII. Authorized Official

Name: DR. BRADLEY DAVID JOHNSON
Title or Position: CLINIC DIRECTOR
Credential: D.C.
Phone: 919-693-3577