Healthcare Provider Details

I. General information

NPI: 1427911981
Provider Name (Legal Business Name): SMITHFIELD CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 NOBLE ST
SMITHFIELD NC
27577-9300
US

IV. Provider business mailing address

7 NOBLE ST
SMITHFIELD NC
27577-9300
US

V. Phone/Fax

Practice location:
  • Phone: 919-989-9559
  • Fax: 919-989-5992
Mailing address:
  • Phone: 919-989-9559
  • Fax: 919-989-5992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. EVAN WAGONER
Title or Position: OWNER
Credential: DC
Phone: 919-989-9559