institution
Brook S. Wallace Pa
Chiropractor in Fuquay Varina, North Carolina
NPI 1306915731

Brook S. Wallace Pa is a Chiropractor based in Fuquay Varina, NC. Brook S. Wallace Pa practices in Fuquay Varina, NC. The NPI Number for Brook S. Wallace Pa is 1306915731 and holds a License No. 2625 (North Carolina).

The current practice location address for Brook S. Wallace Pa is 1000 N Main St, Fuquay Varina, NC and can be reached out via phone at 919-577-0660 and via fax at 919-577-2286.

Location: 1000 N Main St, Fuquay Varina, NC, 27526-2056
institution
Provider Profile Details
NPI Number
1306915731
Provider Name
Brook S. Wallace Pa
Credential
Provider Entity Type
Organization
Address
1000 N Main St, Fuquay Varina, NC, 27526-2056
Phone Number
919-577-0660
Fax Number
919-577-2286
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0836G 01 NC BCBS #
612942 01 NC ACN #
890836G 05 NC
institution
Provider Business Practice Location Address Details
Address
1000 N Main St
City
State
Zip
27526-2056
Phone Number
919-577-0660
Fax Number
919-577-2286
person
Provider Business Mailing Address Details
Address
1000 N Main St
City
State
Zip
27526-2056
Phone Number
919-577-0660
Fax Number
919-577-2286
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
2625 (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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