Individual provider · Type 1 NPI

Glen Allen Peterson, DC

Chiropractor · Knightdale, NC

NPI number 1063444776 Active

Practice location

817 N Smithfield Rd
Knightdale, NC 27545-7717

Call (919) 217-8188 Map

Fax (919) 217-8189

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X3728 (NC)

Chiropractor: 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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About NPI 1063444776

Glen Allen Peterson, DC's National Provider Identifier is 1063444776, issued on Jul 6, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Knightdale, NC. The record was last updated on Nov 14, 2014.