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NPI Code Detail

MEDICARE: DR. TORRI FAIR GAMBACORTA D.C.

MEDICARE: DR. TORRI FAIR GAMBACORTA D.C.
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
1111N00000XChiropractor3284NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2085UGOTHERBCBS

General Provider Information

NPI Number : 1306840681
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TORRI FAIR GAMBACORTA D.C.
Provider Business Mailing Address
First Line : 605 N SPENCE AVE
Second Line :
City : GOLDSBORO
State : NC
Zip : 27534-4263
Country : US
Telephone Number : 919-759-2040
Fax Number : 919-751-3001
Provider Business Practice Location Address
First Line : 605 N SPENCE AVE
Second Line :
City : GOLDSBORO
State : NC
Zip : 27534-4263
Country : US
Telephone Number : 919-759-2040
Fax Number : 919-751-3001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2005
Last Update Date : 07/05/2012

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