| NPI | 1992875298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE SMITHYMAN BAIRD President 919-557-5811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: NC 1670) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 1670) |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: NC 1670) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2014-02-18 |