Provider Demographics
NPI:1760568091
Name:BURGIN, CARTER LYNN (DC)
Entity Type:Individual
Prefix:MR
First Name:CARTER
Middle Name:LYNN
Last Name:BURGIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 NORTH MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752
Mailing Address - Country:US
Mailing Address - Phone:828-659-3999
Mailing Address - Fax:828-659-3998
Practice Address - Street 1:1500 NORTH MAIN ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752
Practice Address - Country:US
Practice Address - Phone:828-659-3999
Practice Address - Fax:828-659-3998
Is Sole Proprietor?:No
Enumeration Date:2006-10-30
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1890111N00000X
NC171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2447830AOtherMEDICARE GROUP
607963OtherACN
NC890828EMedicaid
0828EOtherBCBS