Provider Demographics
NPI:1538463542
Name:GARD CHIROPRACTIC & ACUPUNCTURE PLLC
Entity Type:Organization
Organization Name:GARD CHIROPRACTIC & ACUPUNCTURE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALIYA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GARD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:919-397-3220
Mailing Address - Street 1:1133 STURDIVANT DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-4749
Mailing Address - Country:US
Mailing Address - Phone:919-397-3220
Mailing Address - Fax:
Practice Address - Street 1:1311 KILDAIRE FARM RD
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-5525
Practice Address - Country:US
Practice Address - Phone:919-397-3220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-05
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4123111N00000X
NC4124111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No111NP0017XChiropractic ProvidersChiropractorPediatric ChiropractorGroup - Single Specialty