Provider Demographics
NPI:1336877141
Name:CAROLINA SPINE AND INJURY PC
Entity type:Organization
Organization Name:CAROLINA SPINE AND INJURY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:BURKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:919-845-0200
Mailing Address - Street 1:1008 BIG OAK CT STE A
Mailing Address - Street 2:
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-6566
Mailing Address - Country:US
Mailing Address - Phone:919-266-6416
Mailing Address - Fax:919-266-2128
Practice Address - Street 1:1008 BIG OAK CT STE A
Practice Address - Street 2:
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-6566
Practice Address - Country:US
Practice Address - Phone:919-266-6416
Practice Address - Fax:919-266-2128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-10
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty