| NPI | 1932372521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIAN JUSTIN SMITH Owner 336-996-2462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 1999) |
| 111N00000X Chiropractor (Licence: NC 3796) | |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2018-03-28 |