NPI | 1881786556 |
---|---|
Entity Type | Organization |
Authorized Contact | LAWRENCE DENNIS GRAY Business Owner 336-774-1624 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: NC 2140) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2009-02-03 |