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NPI Code Detail

MEDICARE: HEALTHSOURCE OF CHAPEL HILL PA

MEDICARE: HEALTHSOURCE OF CHAPEL HILL PA
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
1111N00000XChiropractorNC

General Provider Information

NPI Number : 1285904524
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHSOURCE OF CHAPEL HILL PA
Provider Business Mailing Address
First Line : 6110 FALCONBRIDGE RD
Second Line : SUITE 100
City : CHAPEL HILL
State : NC
Zip : 27517-7875
Country : US
Telephone Number : 919-401-9933
Fax Number : 919-402-0249
Provider Business Practice Location Address
First Line : 6110 FALCONBRIDGE RD
Second Line : SUITE 100
City : CHAPEL HILL
State : NC
Zip : 27517-7875
Country : US
Telephone Number : 919-401-9933
Fax Number : 919-402-0249
Authorized Official
Title or Position : CHIROPRACTOR
Name : DR. CHRISTIAN DAVID WERNESS
Credential : D.C.
Telephone Number : 919-401-9933
Provider Enumeration Date : 01/04/2012
Last Update Date : 01/04/2012

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Directions to “HEALTHSOURCE OF CHAPEL HILL PA ” Practice Location

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