NPI | 1497947642 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD WISE PROSSER Owner 704-794-6239 |
Organization Subpart ? | No |
Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: NC 1405) |
Enumeration Date | 2007-08-13 |
Last Update Date | 2008-02-27 |