Healthcare Provider Details

I. General information

NPI: 1760752810
Provider Name (Legal Business Name): JOYNER CHIROPRACTIC PAIN AND WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2012
Last Update Date: 09/24/2022
Certification Date: 09/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2258 NASH ST N
WILSON NC
27896-1729
US

IV. Provider business mailing address

2258 NASH ST N
WILSON NC
27896-1729
US

V. Phone/Fax

Practice location:
  • Phone: 252-674-7162
  • Fax: 252-674-7163
Mailing address:
  • Phone: 252-674-7162
  • Fax: 252-674-7163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4041
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. NATHAN ANDERSON JOYNER
Title or Position: PRESIDENT/CHIROPRACTIC
Credential: D.C.
Phone: 252-674-7162