MEDICARE: DR. JAMES ALLAN GARTLAND 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
1	111N00000X	Chiropractor	2955	NC

Other Identifiers

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

General Provider Information

NPI Number	:	1376502682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES ALLAN GARTLAND JR. DC

Provider Business Mailing Address
First Line	:	2116 10B NEW BERN AVE
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27610
Country	:	US
Telephone Number	:	919-212-1505
Fax Number	:	919-212-1492

Provider Business Practice Location Address
First Line	:	2116 10B NEW BERN AVE
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27610
Country	:	US
Telephone Number	:	919-212-1505
Fax Number	:	919-212-1492

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

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	07/08/2007

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