| NPI | 1548381742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J JACKSON President 919-662-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 3346) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 1962) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2010-03-17 |