Provider Demographics
NPI:1194325456
Name:PAGELS, CARLEY (DC)
Entity type:Individual
Prefix:
First Name:CARLEY
Middle Name:
Last Name:PAGELS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6915 WOODBEND DR APT K
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-6441
Mailing Address - Country:US
Mailing Address - Phone:989-766-0518
Mailing Address - Fax:
Practice Address - Street 1:8531 BRIER CREEK PKWY STE 113
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-2005
Practice Address - Country:US
Practice Address - Phone:919-769-6623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5242111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor