Provider Demographics
NPI:1275604746
Name:CURLEE, DEIDRA A (DC)
Entity Type:Individual
Prefix:DR
First Name:DEIDRA
Middle Name:A
Last Name:CURLEE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:731 N 2ND ST
Mailing Address - Street 2:STE. D
Mailing Address - City:ALBEMARLE
Mailing Address - State:NC
Mailing Address - Zip Code:28001-3362
Mailing Address - Country:US
Mailing Address - Phone:704-983-3183
Mailing Address - Fax:704-983-8739
Practice Address - Street 1:731 N 2ND ST
Practice Address - Street 2:STE. D
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-3362
Practice Address - Country:US
Practice Address - Phone:704-983-3183
Practice Address - Fax:704-983-8739
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2413111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890820PMedicaid
NC0820POtherBLUE CROSS
NC890820PMedicaid
NCU6474Medicare UPIN