Healthcare Provider Details

I. General information

NPI: 1114249570
Provider Name (Legal Business Name): BARBEE CLINICS INTEGRATIVE HEALTHCARE, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2010
Last Update Date: 02/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 E MARION ST
PILOT MOUNTAIN NC
27041-0775
US

IV. Provider business mailing address

213 E MARION ST PO BOX 775
PILOT MOUNTAIN NC
27041-0775
US

V. Phone/Fax

Practice location:
  • Phone: 336-368-4121
  • Fax: 336-368-1777
Mailing address:
  • Phone: 336-368-4121
  • Fax: 336-368-1777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1228
License Number StateNC

VIII. Authorized Official

Name: DR. HAROLD TED BARBEE
Title or Position: MEMBER, MANAGER
Credential: D.C.
Phone: 336-368-4121