NPI | 1225107915 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN J. FLYNN President 919-676-6556 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: NC 1425) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2013-01-31 |