NPI | 1285711648 |
---|---|
Doing Business As | "ALTERNATIVE HEALTH CLINIC" AND "SPORTSMED" |
Entity Type | Organization |
Authorized Contact | JEFF W LISSENDEN Chiropractor 336-218-0094 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 1194) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-08-22 |