Provider Demographics
NPI:1497575807
Name:COURTNEY, MEARA ANN (DC)
Entity type:Individual
Prefix:DR
First Name:MEARA
Middle Name:ANN
Last Name:COURTNEY
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 1:7215 OGDEN BUSINESS LN STE 106B
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-7381
Mailing Address - Country:US
Mailing Address - Phone:303-570-2536
Mailing Address - Fax:
Practice Address - Street 1:7215 OGDEN BUSINESS LN STE 106B
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28411-7381
Practice Address - Country:US
Practice Address - Phone:303-570-2536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5734111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor