| NPI | 1023450731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE L BECK Office Manager/Biller 704-549-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 4369) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 4316) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2015-03-26 |