Provider Demographics
NPI:1497878391
Name:JAYNE, SILVER LESLIE (DC)
Entity Type:Individual
Prefix:DR
First Name:SILVER
Middle Name:LESLIE
Last Name:JAYNE
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 1:14285 WYNHOLLOW DOWNS LN
Mailing Address - Street 2:APARTMENT 430
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-1341
Mailing Address - Country:US
Mailing Address - Phone:570-592-2387
Mailing Address - Fax:
Practice Address - Street 1:5344 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-2704
Practice Address - Country:US
Practice Address - Phone:704-940-4000
Practice Address - Fax:704-940-4001
Is Sole Proprietor?:No
Enumeration Date:2007-04-08
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3435111N00000X
SC3122111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2347866Medicare PIN