Provider Demographics
NPI:1811099849
Name:CURRENT, CAMERON S (DC)
Entity type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:S
Last Name:CURRENT
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 1:936 HIGHWAY 221 BUSINESS
Mailing Address - Street 2:P.O. BOX 348
Mailing Address - City:WEST JEFFERSON
Mailing Address - State:NC
Mailing Address - Zip Code:28694
Mailing Address - Country:US
Mailing Address - Phone:336-846-5651
Mailing Address - Fax:336-846-6401
Practice Address - Street 1:936 HIGHWAY 221 BUSINESS
Practice Address - Street 2:
Practice Address - City:WEST JEFFERSON
Practice Address - State:NC
Practice Address - Zip Code:28694
Practice Address - Country:US
Practice Address - Phone:336-846-5651
Practice Address - Fax:336-846-6401
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1908111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890833BMedicaid
NC0833BOtherBLUE CROSS BLUE SHIELD
NCU35487Medicare UPIN
NC2447656Medicare ID - Type Unspecified