Organization

Creedmoor Wellness Center, Pllc

Chiropractor in Creedmoor, NC(View on Map)

Legal Business Name

Creedmoor Wellness Center, Pllc

NPI Number

1245476712

NPI Type

Organization

Enumeration Date

01/05/2009

Specialties

(Taxonomies)

Code

111N00000X

Primary Taxonomy

Yes

Licenses

State

North Carolina

License Number

3380

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 786
106 W CHURCH ST STE E

City

Creedmoor
Creedmoor

State

NC
NC

Postal Code

27522-0786
27522-9765

Country

US
US

Telephone Number

(919) 528-7290
(919) 528-7290

Authorized Official

Name

Cheryl Hanly

Title or Position

OWNER

Telephone Number

(919) 528-7290

Identifiers

Identifier

2458179A

Identifier State

NC

Identifier Issuer

MEDICARE PTAN

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/05/2009

Provider Address