MEDICARE: DR. SPIRO NICHOLAS COMIS D.C., L.AC.

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	1039	NC
2	171100000X	Acupuncturist	272	NC

General Provider Information

NPI Number	:	1811945363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SPIRO NICHOLAS COMIS D.C., L.AC.

Provider Business Mailing Address
First Line	:	1019 BROAD ST.
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27705-4143
Country	:	US
Telephone Number	:	919-286-0009
Fax Number	:	919-286-1909

Provider Business Practice Location Address
First Line	:	1019 BROAD ST
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27705-4143
Country	:	US
Telephone Number	:	919-286-0009
Fax Number	:	919-286-1909

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

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	04/27/2011

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