Provider Demographics
NPI:1407254485
Name:EPIC CHIROPRACTIC PC
Entity Type:Organization
Organization Name:EPIC CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CORY
Authorized Official - Middle Name:LANCE
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:434-865-4685
Mailing Address - Street 1:10290 CHAPEL HILL RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-9006
Mailing Address - Country:US
Mailing Address - Phone:919-634-3263
Mailing Address - Fax:
Practice Address - Street 1:10290 CHAPEL HILL RD
Practice Address - Street 2:SUITE 500
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-9006
Practice Address - Country:US
Practice Address - Phone:919-634-3263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-08
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4452111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty