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Dr. Raymond Todd Shaver, DCDICCP
Pediatric Chiropractor in Wilmington, North Carolina
NPI 1871690222

Raymond Todd Shaver is a Pediatric Chiropractor based in Wilmington, NC and is specialized in Pediatric Chiropractor. Raymond Todd Shaver practices in Wilmington, NC and has the professional credentials of DCDICCP. The NPI Number for Raymond Todd Shaver is 1871690222 and holds a License No. 1781 (North Carolina).

The current practice location address for Raymond Todd Shaver is 4421 Junction Park Drive, Wilmington, NC and can be reached out via phone at 910-452-5555 and via fax at 910-452-5044.

Location: 4421 Junction Park Drive, Wilmington, NC, 28412-2263
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871690222
Provider Name
Raymond Todd Shaver
Credential
DCDICCP
Provider Entity Type
Individual
Gender
Male
Address
4421 Junction Park Drive, Wilmington, NC, 28412-2263
Phone Number
910-452-5555
Fax Number
910-452-5044
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2446941B 01 NC MEDICARE GROUP PROVIDER PTAN
890877B 05 NC
0877B 01 NC BCBS
2446941A 01 NC MEDICARE INDIVIDUAL PROVIDER PTAN
institution
Provider Business Practice Location Address Details
Address
4421 Junction Park Drive
City
Wilmington
State
North Carolina
Zip
28412-2263
Phone Number
910-452-5555
Fax Number
910-452-5044
person
Provider Business Mailing Address Details
Address
4421 Junction Park Drive
City
Wilmington
State
North Carolina
Zip
28412-2263
Phone Number
910-452-5555
Fax Number
910-452-5044
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1781 (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.
person
Provider's Taxonomy Details 2
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
Pediatric Chiropractor
Taxonomy
111NP0017X
License No.
1781 (North Carolina)
Definition
The Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence. This specialist provides primary, comprehensive, therapeutic and preventative chiropractic health care for newborns through adolescents.
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