| NPI | 1043287642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED L TRULL Secretary Treasurer 704-938-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 1437) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 1438) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2020-08-22 |