MEDICARE: SILVER CHIROPRACTIC CORP

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	2544	NC
2	111N00000X	Chiropractor	2680	NC

General Provider Information

NPI Number	:	1972687333
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SILVER CHIROPRACTIC CORP

Provider Business Mailing Address
First Line	:	275 N HIGHWAY 16
Second Line	:	#102
City	:	DENVER
State	:	NC
Zip	:	28037-3000
Country	:	US
Telephone Number	:	704-649-6697
Fax Number	:	704-892-9793

Provider Business Practice Location Address
First Line	:	275 N HIGHWAY 16
Second Line	:	#102
City	:	DENVER
State	:	NC
Zip	:	28037-3000
Country	:	US
Telephone Number	:	704-649-6697
Fax Number	:	704-892-9793

Authorized Official
Title or Position	:	CHIROPRACTOR OWNER
Name	:	DR. JODIE LEE SILVER
Credential	:	DC
Telephone Number	:	704-649-6697

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	04/17/2013

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Directions to “SILVER CHIROPRACTIC CORP ” Practice Location

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