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Dr. Matthew Dirk Willard, DC
Chiropractor in Winston Salem, North Carolina
NPI 1619124286

Matthew Dirk Willard is a Chiropractor based in Winston Salem, NC. Matthew Dirk Willard practices in Winston Salem, NC and has the professional credentials of DC. The NPI Number for Matthew Dirk Willard is 1619124286 and holds a License No. 3904 (North Carolina).

The current practice location address for Matthew Dirk Willard is 141 Vinegar Hill Road, Winston Salem, NC and can be reached out via phone at 336-448-1894 and via fax at 336-448-1895.

Location: 141 Vinegar Hill Road, Winston Salem, NC, 27104-5069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619124286
Provider Name
Matthew Dirk Willard
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
141 Vinegar Hill Road, Winston Salem, NC, 27104-5069
Phone Number
336-448-1894
Fax Number
336-448-1895
Provider Enumeration Date
08/26/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2456085 01 NC MEDICARE PTAN
111N00000X 01 TAXONOMY
086CJ 01 NC BLUE CROSS PTAN
5950449 05 NC
2451497B 01 NC MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
141 Vinegar Hill Road
City
Winston Salem
State
North Carolina
Zip
27104
Phone Number
336-448-1894
Fax Number
336-448-1895
person
Provider Business Mailing Address Details
Address
141 Vinegar Hill Road
City
Winston Salem
State
North Carolina
Zip
27104
Phone Number
336-448-1894
Fax Number
336-448-1895
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3904 (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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