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NPI Code Detail

MEDICARE: DR. SILVER LESLIE JAYNE D.C.

MEDICARE: DR. SILVER LESLIE JAYNE 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
1111N00000XChiropractor3435NC
2111N00000XChiropractor3122SC

General Provider Information

NPI Number : 1497878391
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SILVER LESLIE JAYNE D.C.
Provider Business Mailing Address
First Line : 14285 WYNHOLLOW DOWNS LN
Second Line : APARTMENT 430
City : CHARLOTTE
State : NC
Zip : 28277-1341
Country : US
Telephone Number : 570-592-2387
Fax Number :
Provider Business Practice Location Address
First Line : 5344 CENTRAL AVE
Second Line :
City : CHARLOTTE
State : NC
Zip : 28212-2704
Country : US
Telephone Number : 704-940-4000
Fax Number : 704-940-4001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2007
Last Update Date : 10/31/2012

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