Provider Demographics
NPI:1912541624
Name:DOCTOR CHRISTIAN DAVIES CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:DOCTOR CHRISTIAN DAVIES CHIROPRACTIC, PLLC
Other - Org Name:DR. CHRISTIAN'S CHIROPRACTIC
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIROPRACTOR/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:J. CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIES
Authorized Official - Suffix:
Authorized Official - Credentials:DC, MSACN
Authorized Official - Phone:919-750-0661
Mailing Address - Street 1:3214 CHARLES B ROOT WYND STE 145
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-5440
Mailing Address - Country:US
Mailing Address - Phone:919-750-0661
Mailing Address - Fax:984-222-3000
Practice Address - Street 1:3214 CHARLES B ROOT WYND STE 145
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-5440
Practice Address - Country:US
Practice Address - Phone:919-750-0661
Practice Address - Fax:984-222-3000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-06
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty