Healthcare Provider Details

I. General information

NPI: 1760418776
Provider Name (Legal Business Name): DIAL CHIROPRACTIC, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 02/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 STANBACK FERRY ROAD
WADESBORO NC
28170-9228
US

IV. Provider business mailing address

146 STANBACKFERRY ICE PLANT RD
WADESBORO NC
28170-9228
US

V. Phone/Fax

Practice location:
  • Phone: 704-694-7246
  • Fax: 704-694-6826
Mailing address:
  • Phone: 704-694-7246
  • Fax: 704-694-6826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number3052
License Number StateNC

VIII. Authorized Official

Name: DR. BRIAN S DIAL
Title or Position: DOCTOR/PRESIDENT
Credential: DC
Phone: 704-694-7246