Provider Demographics
NPI:1679344584
Name:CAROLINA CHIROPRACTIC AND CONSULTING PLLC
Entity Type:Organization
Organization Name:CAROLINA CHIROPRACTIC AND CONSULTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARMAINE
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:BESTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:984-584-7377
Mailing Address - Street 1:1009 BROYHILL HALL CT
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-9180
Mailing Address - Country:US
Mailing Address - Phone:984-584-7377
Mailing Address - Fax:984-235-5676
Practice Address - Street 1:120 CAPCOM AVE STE 104
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-6537
Practice Address - Country:US
Practice Address - Phone:984-584-7377
Practice Address - Fax:984-235-5676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-10
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty