| NPI | 1801959580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGH CHARLES GOTRO President 704-882-0192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: NC 2080) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2012-02-07 |