| NPI | 1356446926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD GARRETT KELLY Chiropractor/Owner 910-214-6887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 2714) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2019-09-17 |