Elite Performance Winston PLLC
Chiropractor in Winston Salem, NC. Organization (NPI-2).
NPI number1962013102
StatusActive
Last updated in NPPESAug 12, 2020
Details
- NPI
- 1962013102
- Entity type
- Organization (NPI-2)
- Legal business name
- Elite Performance Winston PLLC
- Organization subpart
- No
- Enumeration date
- Aug 12, 2020
- Certification date
- Aug 12, 2020
- Last updated
- Aug 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Other names
- Elite Performance Chiropractic (Doing Business As)
Practice location
2544 Somerset Center DrWinston Salem, NC 27103-6766
Phone 336-617-9890 · Fax 336-955-1964
Mailing address
1901 Westridge Rd Ste 100Greensboro, NC 27410-2425
Phone 336-617-8113 · Fax 336-617-8190
Authorized official
Angela Rea
Practice Manager
3366178113
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