Provider Demographics
NPI:1376977397
Name:DIAL CHIROPRACTIC ACCIDENT & INJURY CENTER, PLLC
Entity Type:Organization
Organization Name:DIAL CHIROPRACTIC ACCIDENT & INJURY CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:DIAL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:910-802-4034
Mailing Address - Street 1:4914 FAYETTEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-2110
Mailing Address - Country:US
Mailing Address - Phone:910-802-4034
Mailing Address - Fax:910-674-4438
Practice Address - Street 1:4914 FAYETTEVILLE RD
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-2110
Practice Address - Country:US
Practice Address - Phone:910-802-4034
Practice Address - Fax:910-674-4438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-27
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty