NPI | 1295803492 |
---|---|
Doing Business As | BAWCOM CHIROPRACTIC CLINIC |
Entity Type | Organization |
Authorized Contact | MARK LEWIS BAWCOM Owner President 757-490-7911 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104001771) |
Enumeration Date | 2006-12-04 |
Last Update Date | 2020-08-22 |