SOUTHRIDGE ADVANCED CHIROPRACTIC

CHARLESTON, WV
NPI1699960351
Entity TypeOrganization
Authorized ContactJODY R EASTWOOD
Owner
850-557-0104
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: WV  111N00000X)
Enumeration Date2007-09-06
Last Update Date2007-09-06
Business Address
SOUTHRIDGE ADVANCED CHIROPRACTIC
100 PEYTON WAY SUITE 201
CHARLESTON, WV 25309-8572
Phone number: 850-557-0104
Mailing Address
SOUTHRIDGE ADVANCED CHIROPRACTIC
100 PEYTON WAY SUITE 201
CHARLESTON, WV 25309-8572
Phone number: 850-557-0104