Corvin Chiropractic, PC

Organization Active NPI Chiropractor · Mocksville, NC

NPI 1245308360 · NPPES record last updated Jul 23, 2008

Key facts

NPI
1245308360
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
3207 (NC)
Legal business name
CORVIN CHIROPRACTIC, PC
Practice address
375 Hospital St
Suite 100
Mocksville, NC 27028-2086
Phone
(336) 753-0056
NPI assigned
Nov 30, 2006
Organization subpart
No

Authorized official

Name
Dr. Cecil Todd Corvin, DC NPI 1619064276
Title
President
Phone
(336) 753-0056

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

375 Hospital St
Ste 100
Mocksville, NC 27028
Phone (336) 753-0056

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X 3207 NC Yes

Addresses

Primary practice location

375 Hospital St
Suite 100
Mocksville, NC 27028-2086

Mailing address

375 Hospital St
Suite 100
Mocksville, NC 27028-2086
Phone (336) 753-0056

Other identifiers

IdentifierTypeStateIssuer
085TXOtherNCBLUE CROSS

Other providers in Mocksville, NC

All providers in Mocksville, NC · Chiropractor in North Carolina

Sources for this page

Verify at the official NPI Registry.