Provider Demographics
NPI:1225071194
Name:SILVESTER, MARK JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:JAMES
Last Name:SILVESTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160NEMAYNARD RD 204
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-9671
Mailing Address - Country:US
Mailing Address - Phone:919-461-3933
Mailing Address - Fax:919-461-3944
Practice Address - Street 1:160NEMAYNARD RD 204
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-9671
Practice Address - Country:US
Practice Address - Phone:919-461-3933
Practice Address - Fax:919-461-3944
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3159111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor