NPI | 1285956979 |
---|---|
Doing Business As | REVOLUTION CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | BARON GABLE HOLT Owner 423-748-5095 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: NC 4061) |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: NC 4061) |
Enumeration Date | 2010-02-22 |
Last Update Date | 2010-02-22 |