Provider Demographics
NPI:1740292267
Name:POLICARI, GINA DAWN (DC)
Entity type:Individual
Prefix:DR
First Name:GINA
Middle Name:DAWN
Last Name:POLICARI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6303 OLEANDER DR
Mailing Address - Street 2:SUITE #102A
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-3590
Mailing Address - Country:US
Mailing Address - Phone:910-313-1322
Mailing Address - Fax:910-313-1323
Practice Address - Street 1:6303 OLEANDER DR
Practice Address - Street 2:SUITE #102A
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-3590
Practice Address - Country:US
Practice Address - Phone:910-313-1322
Practice Address - Fax:910-313-1323
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2528111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0824NOtherBLUE CROSS/BLUE SHIELD
NC790824NMedicaid
NC0824NOtherBLUE CROSS/BLUE SHIELD