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NPI Code Detail

MEDICARE: DR. CHARLES CLAYTON LAMEY JR. DC

MEDICARE: DR. CHARLES CLAYTON LAMEY JR. 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
1111N00000XChiropractor902AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295731891
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES CLAYTON LAMEY JR. DC
Provider Business Mailing Address
First Line : PO BOX 506
Second Line :
City : CONWAY
State : AR
Zip : 72033-0506
Country : US
Telephone Number : 501-327-4484
Fax Number : 501-327-5963
Provider Business Practice Location Address
First Line : 523 HARKRIDER ST
Second Line :
City : CONWAY
State : AR
Zip : 72032-5631
Country : US
Telephone Number : 501-327-4484
Fax Number : 501-327-5963
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 06/11/2008

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