| NPI | 1972797579 | 
|---|---|
| Doing Business As | NORTHSIDE CHIROPRACTIC | 
| Entity Type | Organization | 
| Authorized Contact | DAMON CHRIS DEWEESE Doctor 904-757-4786 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH8089) | 
| Enumeration Date | 2007-08-28 | 
| Last Update Date | 2014-03-19 |