| Mt. Olive Chiropractic Clinic, P.c. | |
|
515 W Main St, Mount Olive, NC 28365-1903 | |
| (919) 658-0003 | |
| (919) 658-0310 |
| Full Name | Mt. Olive Chiropractic Clinic, P.c. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 515 W Main St, Mount Olive, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285730697 | NPI | - | NPPES |
| 0820M | Other | NC | BLUE CROSS |
| 0820M | Other | NC | BLUE SHIELD |
| 890820M | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2404 (North Carolina) | Primary |
| Provider Name | Massoud Motamed |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538238696 PECOS PAC ID: 8123060886 Enrollment ID: I20050524000483 |
| Provider Name | Iman Motamed |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1912541822 PECOS PAC ID: 2264867977 Enrollment ID: I20200127000132 |
| Provider Name | Shanta Motamed |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861065997 PECOS PAC ID: 3678978012 Enrollment ID: I20210823001731 |
| Mailing Address | Practice Location Address |
|---|---|
| Mt. Olive Chiropractic Clinic, P.c. 515 W Main St, Mount Olive, NC 28365-1903 Ph: (919) 658-0003 | Mt. Olive Chiropractic Clinic, P.c. 515 W Main St, Mount Olive, NC 28365-1903 Ph: (919) 658-0003 |
2j Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1120 N Breazeale Ave, Mount Olive, NC 28365 Phone: 919-299-8033 | |
Massoud Motamed, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 515 W Main St, Mount Olive, NC 28365 Phone: 919-658-0003 Fax: 919-658-0310 | |
Dr. Shanta Motamed, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 515 W Main St, Mount Olive, NC 28365 Phone: 919-658-0003 | |
Dr. Iman Motamed, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 515 W Main St, Mount Olive, NC 28365 Phone: 919-658-0003 Fax: 919-658-0310 |