IndividualActive
Fred Nelson, D.C., C.C.S.P.
NPI 1316979495 · Sports Physician Chiropractor · Wake Forest, NC
Provider details
- NPI number
- 1316979495
- Entity type
- Individual
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Credential
- D.C., C.C.S.P.
- Sex
- Male
- Sole proprietor
- No
- License
- 1075 (NC)
Specialties & taxonomies
Chiropractic Providers
Practice location
10405 Ligon Mill Rd Ste F
Wake Forest, NC 27587-5013
Phone: (919) 556-2014
Fax: (919) 556-0996
Approximate (ZIP-level) locationGet directions
Mailing address
10405 Ligon Mill Rd Ste F
Wake Forest, NC 27587-5013
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.