| NPI | 1336386903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A MYNATT Owner 910-754-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 3693) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 3839) |
| Enumeration Date | 2009-01-19 |
| Last Update Date | 2009-08-28 |