| NPI | 1881790848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE M WILLEN President 336-855-8560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: NC NC1406) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |