| NPI | 1194111534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA STUART LEE Office Manager/Chiropractor 704-964-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3888) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2016-05-26 |