| NPI | 1104003508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY E PORTER Owner/Chiropractor 919-556-0282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 3774) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 3773) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2015-08-31 |