Provider Demographics
NPI:1508198714
Name:GAMMEL, CHERYL K (DC)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:K
Last Name:GAMMEL
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 1:1009 S VAN BUREN RD
Mailing Address - Street 2:
Mailing Address - City:EDEN
Mailing Address - State:NC
Mailing Address - Zip Code:27288-5343
Mailing Address - Country:US
Mailing Address - Phone:336-623-6100
Mailing Address - Fax:336-623-5100
Practice Address - Street 1:1009 S VAN BUREN RD
Practice Address - Street 2:
Practice Address - City:EDEN
Practice Address - State:NC
Practice Address - Zip Code:27288-5343
Practice Address - Country:US
Practice Address - Phone:336-623-6100
Practice Address - Fax:336-623-5100
Is Sole Proprietor?:No
Enumeration Date:2010-02-12
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2490111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCU69436Medicare UPIN