Provider Demographics
NPI:1962001776
Name:PLOWCHA, ABIGAIL (DC)
Entity Type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:
Last Name:PLOWCHA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4818 CHARLTON LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-2705
Mailing Address - Country:US
Mailing Address - Phone:386-506-6608
Mailing Address - Fax:
Practice Address - Street 1:4818 CHARLTON LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-2705
Practice Address - Country:US
Practice Address - Phone:386-506-6608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5280111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor