MEDICARE: ATLAS CHIROPRACTIC AND WELLNESS CENTER, 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
1	111N00000X	Chiropractor	2196	NC

General Provider Information

NPI Number	:	1467521203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLAS CHIROPRACTIC AND WELLNESS CENTER, PA

Provider Business Mailing Address
First Line	:	10931 STRICKLAND RD
Second Line	:	SUITE 131
City	:	RALEIGH
State	:	NC
Zip	:	27615-2085
Country	:	US
Telephone Number	:	919-518-1234
Fax Number	:	919-518-0878

Provider Business Practice Location Address
First Line	:	10931 STRICKLAND RD
Second Line	:	SUITE 131
City	:	RALEIGH
State	:	NC
Zip	:	27615-2085
Country	:	US
Telephone Number	:	919-518-1234
Fax Number	:	919-518-0878

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOHN S. BOCCELLA
Credential	:	DC
Telephone Number	:	919-518-1234

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	01/16/2015

Similar Medicare Providers

1063413771 — DR. JOHN SALVATORE BOCCELLA D.C.
Practice Location Address:

10931 STRICKLAND RD , SUITE 131
RALEIGH, NC
27615-2085

Practice Phone: 919-518-1234
Practice Fax: 919-518-0878

1689655474 — DR. JULIA ELIZABETH WILKINS D.C., B.C.A.O.
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1821010224 — DR. MANON FIELDING D.C., M.S, LCAS
Practice Location Address:

10931 STRICKLAND RD STE 131
RALEIGH, NC
27615-2085

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Practice Fax:

1427171768 — DR. MICHAEL CRAIG KRETCHMER D.D.S., M.S.
Practice Location Address:

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Practice Location Address:

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1265996904 — DR. KAYLA HILL BLEVINS DC
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27615-2085

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Practice Fax:

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