=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144374414
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GILES CHIROPRACTIC CLINIC PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/23/2007
-----------------------------------------------------
Last Update Date | 07/15/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 514 MAIN ST
-----------------------------------------------------
City | NARROWS
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24124-1321
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-726-2318
-----------------------------------------------------
Fax | 540-726-7665
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 514 MAIN ST
-----------------------------------------------------
City | NARROWS
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24124-1321
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-726-2318
-----------------------------------------------------
Fax | 540-726-7665
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR
-----------------------------------------------------
Name | DR. STEWART MELVILLE RAWNSLEY
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 540-726-2318
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 0104000570
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------