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Dr. Glen Allen Peterson, DC
Chiropractor in Knightdale, North Carolina
NPI 1063444776

Glen Allen Peterson is a Chiropractor based in Knightdale, NC. Glen Allen Peterson practices in Knightdale, NC and has the professional credentials of DC. The NPI Number for Glen Allen Peterson is 1063444776 and holds a License No. 3728 (North Carolina).

The current practice location address for Glen Allen Peterson is 817 N Smithfield Rd, Knightdale, NC and can be reached out via phone at 919-217-8188 and via fax at 919-217-8189.

Location: 817 N Smithfield Rd, Knightdale, NC, 27545-7717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063444776
Provider Name
Glen Allen Peterson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
817 N Smithfield Rd, Knightdale, NC, 27545-7717
Phone Number
919-217-8188
Fax Number
919-217-8189
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5907457 05 NC
institution
Provider Business Practice Location Address Details
Address
817 N Smithfield Rd
City
Knightdale
State
North Carolina
Zip
27545-7717
Phone Number
919-217-8188
Fax Number
919-217-8189
person
Provider Business Mailing Address Details
Address
817 N Smithfield Rd
City
Knightdale
State
North Carolina
Zip
27545-7717
Phone Number
919-217-8188
Fax Number
919-217-8189
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3728 (North Carolina)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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