Provider Demographics
NPI:1447663935
Name:GARRABRANT, AVERY NICOLE (DC)
Entity type:Individual
Prefix:DR
First Name:AVERY
Middle Name:NICOLE
Last Name:GARRABRANT
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 1:1413 W NC HIGHWAY 54
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-5507
Mailing Address - Country:US
Mailing Address - Phone:919-307-6688
Mailing Address - Fax:
Practice Address - Street 1:1413 W NC HIGHWAY 54
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-5507
Practice Address - Country:US
Practice Address - Phone:919-307-6688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-03
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3932111N00000X
NC4480111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor