| NPI | 1750674735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROOSEVELT SMITH Owner 336-235-4022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2011-07-20 |