| NPI | 1942566575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINFRED DARRELL PETREY Doctor/Owner 251-661-7577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 1648) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |