| NPI | 1285067165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAYNE ERVIN THOMAS Owner 704-568-2447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 1534) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 4383) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |