| NPI | 1912002007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAZYAR MICHAEL NESHAT Owner 704-821-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: NC 2976) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |