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Dr. Brook Stephen Wallace, DC
Chiropractor in Fuquay Varina, North Carolina
NPI 1881624989

Brook Stephen Wallace is a Chiropractor based in Fuquay Varina, NC. Brook Stephen Wallace practices in Fuquay Varina, NC and has the professional credentials of DC. The NPI Number for Brook Stephen Wallace is 1881624989 and holds a License No. 2625 (North Carolina).

The current practice location address for Brook Stephen Wallace 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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881624989
Provider Name
Brook Stephen Wallace
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1000 N Main St, Fuquay Varina, NC, 27526-2056
Phone Number
919-577-0660
Fax Number
919-577-2286
Provider Enumeration Date
07/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0836G 01 NC BCBS PROVIDER NUMBER
890836G 05 NC
institution
Provider Business Practice Location Address Details
Address
1000 N Main St
City
Fuquay Varina
State
North Carolina
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
Fuquay Varina
State
North Carolina
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
111N00000X
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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