Healthcare Provider Details

I. General information

NPI: 1477616787
Provider Name (Legal Business Name): CURRENT CHIROPRACTIC CLINIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

936 HIGHWAY 221 BUSINESS
WEST JEFFERSON NC
28694
US

IV. Provider business mailing address

PO BOX 348
WEST JEFFERSON NC
28694-0348
US

V. Phone/Fax

Practice location:
  • Phone: 336-846-5651
  • Fax: 336-846-6401
Mailing address:
  • Phone: 336-846-5651
  • Fax: 336-846-6401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number552
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1908
License Number StateNC

VIII. Authorized Official

Name: DR. CAMERON S CURRENT
Title or Position: PRESIDENT
Credential: DC
Phone: 336-846-5651