NPI | 1427118066 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN B. ROACH President 704-853-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: NC 1883) |
Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: SC 1593) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2008-02-23 |