RUSSELL D EDGAR

OCEAN ISLE BEACH, NC
NPI1366411720
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: NC  2207)
Enumeration Date2006-03-16
Last Update Date2007-07-08
Business Address
-- RUSSELL D EDGAR D.C.
6934 BEACH DR SW SUITE 2
OCEAN ISLE BEACH, NC 28469-5797
Phone number: 910-575-7809
Mailing Address
-- RUSSELL D EDGAR D.C.
PO BOX 6931
OCEAN ISLE BEACH, NC 28469-0931
Phone number: