| NPI | 1093892077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW GREGORY President 704-829-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: NC 2333) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-06-04 |