| NPI | 1801832811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD FULTON ABERNATHY President 704-664-3455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2011-10-06 |