Provider Demographics
NPI:1568183242
Name:CAROLINA SPINE SPECIALISTS PLLC
Entity Type:Organization
Organization Name:CAROLINA SPINE SPECIALISTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:SHERWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:919-642-0555
Mailing Address - Street 1:12020 IREDELL
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-8550
Mailing Address - Country:US
Mailing Address - Phone:919-903-9077
Mailing Address - Fax:919-642-0555
Practice Address - Street 1:141 CHATHAM DOWNS DR STE 203
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-6118
Practice Address - Country:US
Practice Address - Phone:919-969-0931
Practice Address - Fax:919-642-0556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty