| NPI | 1689779647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A. SMITH Owner 919-878-8848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: NC 1412) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |