| NPI | 1306024872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ANTIONETTE GILLIAM Owner/Chiropractor 704-795-1033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 3475) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2009-11-13 |