| NPI | 1740360155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN W WECKEL Owner Doctor 910-392-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor Neurology (Licence: NC 1595) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |