Healthcare Provider Details

I. General information

NPI: 1144374414
Provider Name (Legal Business Name): GILES CHIROPRACTIC CLINIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 07/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

514 MAIN ST
NARROWS VA
24124-1321
US

IV. Provider business mailing address

514 MAIN ST
NARROWS VA
24124-1321
US

V. Phone/Fax

Practice location:
  • Phone: 540-726-2318
  • Fax: 540-726-7665
Mailing address:
  • Phone: 540-726-2318
  • Fax: 540-726-7665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104000570
License Number StateVA

VIII. Authorized Official

Name: DR. STEWART MELVILLE RAWNSLEY
Title or Position: DOCTOR
Credential: DC
Phone: 540-726-2318