MEDICARE: AXIOM CHIROPRACTIC PLLC

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	111NI0013X	Independent Medical Examiner Chiropractor

General Provider Information

NPI Number	:	1295301422
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AXIOM CHIROPRACTIC PLLC

Provider Business Mailing Address
First Line	:	413 S SHARON AMITY RD STE A
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-2881
Country	:	US
Telephone Number	:	704-469-4772
Fax Number	:

Provider Business Practice Location Address
First Line	:	413 S SHARON AMITY RD STE A
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-2881
Country	:	US
Telephone Number	:	704-469-4772
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. MEGAN HULLIHEN
Credential	:	DC
Telephone Number	:	814-762-1281

Provider Enumeration Date	:	05/28/2021
Last Update Date	:	05/28/2021

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