MEDICARE: HOLLY T NORTON DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	3078	MA
2	111N00000X	Chiropractor	DCP00540	RI

General Provider Information

NPI Number	:	1043496870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLY T NORTON DC

Provider Business Mailing Address
First Line	:	12 BRIARWOOD DR
Second Line	:	UNIT 1
City	:	ATTLEBORO
State	:	MA
Zip	:	02703-5197
Country	:	US
Telephone Number	:	508-292-3433
Fax Number	:	508-226-0703

Provider Business Practice Location Address
First Line	:	1243 MINERAL SPRING AVE
Second Line	:	SUITE 214
City	:	NORTH PROVIDENCE
State	:	RI
Zip	:	02904-4636
Country	:	US
Telephone Number	:	508-292-3433
Fax Number	:	508-226-0703

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2008
Last Update Date	:	01/30/2012

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Directions to “ HOLLY T NORTON DC” Practice Location

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