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Carolina Chiropractic & Wellness Center

Chiropractor in Cornelius, NC. Organization (NPI-2).

NPI number1205934775
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1205934775
Entity type
Organization (NPI-2)
Legal business name
Carolina Chiropractic & Wellness Center
Organization subpart
No
Enumeration date
Sep 20, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor––Yes

Practice location

17115 Kenton Dr
Suite 206 A
Cornelius, NC 28031-5645

Phone 704-892-1010 · Fax 704-892-1074

Mailing address

17115 Kenton Dr
Suite 206 A
Cornelius, NC 28031-5645

Phone 704-892-1010 · Fax 704-892-1074

Authorized official

Michael Todd Shipley
Owner
7048921010

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