Provider Demographics
NPI:1205916061
Name:CURLE, DWAYNE PIERCE (DC)
Entity type:Individual
Prefix:DR
First Name:DWAYNE
Middle Name:PIERCE
Last Name:CURLE
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 1:5108 STAGE RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38134-3164
Mailing Address - Country:US
Mailing Address - Phone:901-381-9007
Mailing Address - Fax:901-381-9007
Practice Address - Street 1:5108 STAGE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38134-3164
Practice Address - Country:US
Practice Address - Phone:901-381-9007
Practice Address - Fax:901-381-9007
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC799111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN148688OtherBLUE CROSS/BLUE SHIELD
TNSCP315OtherCIGNA OF TENNESSEE
TN3676053Medicare ID - Type Unspecified
TNU26482Medicare UPIN