| NPI | 1043754344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY EUGENE STOGNER Owner/President 910-895-6042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 1885) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 4099) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |