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NPI Code Detail

MEDICARE: DR. CHARLES B SAYRE D.C., NP-C

MEDICARE: DR. CHARLES B SAYRE D.C., NP-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
1111N00000XChiropractor1955TN
2111NI0013XIndependent Medical Examiner Chiropractor2677NC
3363LF0000XFamily Nurse Practitioner5013429NC

General Provider Information

NPI Number : 1730193731
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES B SAYRE D.C., NP-C
Provider Business Mailing Address
First Line : 135 E RICH BLVD
Second Line :
City : ELIZABETH CITY
State : NC
Zip : 27909-5518
Country : US
Telephone Number : 828-286-3472
Fax Number : 252-333-1877
Provider Business Practice Location Address
First Line : 135 E RICH BLVD
Second Line :
City : ELIZABETH CITY
State : NC
Zip : 27909-5518
Country : US
Telephone Number : 252-333-1277
Fax Number : 252-333-1877
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 08/14/2020

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