| NPI | 1174793780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE JEANNETTE MACKLIN President/Owner 704-494-4250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 3690) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2011-08-16 |