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Russell D Edgar, DC
Chiropractor in Ocean Isle Beach, North Carolina
NPI 1366411720

Russell D Edgar is a Chiropractor based in Ocean Isle Beach, NC. Russell D Edgar practices in Ocean Isle Beach, NC and has the professional credentials of DC. The NPI Number for Russell D Edgar is 1366411720 and holds a License No. 2207 (North Carolina).

The current practice location address for Russell D Edgar is 6934 Beach Dr Sw, Ocean Isle Beach, NC and can be reached out via phone at 910-575-7809 and via fax at 910-575-7810.

Location: 6934 Beach Dr Sw, Ocean Isle Beach, NC, 28469-0931
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366411720
Provider Name
Russell D Edgar
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
6934 Beach Dr Sw, Ocean Isle Beach, NC, 28469-0931
Phone Number
910-575-7809
Fax Number
910-575-7810
Provider Enumeration Date
03/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7908776 05 NC
institution
Provider Business Practice Location Address Details
Address
6934 Beach Dr Sw
City
Ocean Isle Beach
State
North Carolina
Zip
28469-5797
Phone Number
910-575-7809
Fax Number
910-575-7810
person
Provider Business Mailing Address Details
Address
6934 Beach Dr Sw
City
Ocean Isle Beach
State
North Carolina
Zip
28469-5797
Phone Number
910-575-7809
Fax Number
910-575-7810
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2207 (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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