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Organization
ACTIVE WELLNESS CHIROPRACTIC PC
Active
Organization
ACTIVE WELLNESS CHIROPRACTIC PC
Active
Other names
Healthsource of Norfolk
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS WAYNE DAVIS D.C (OWNER)
(757) 627-2222
Entity
Organization
Contact information
Practice address
1900 MONTICELLO AVE, NORFOLK, VA 23517-2339
(757) 627-2222
Mailing address
1900 MONTICELLO AVE, NORFOLK, VA 23517-2339
(757) 627-2222
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104002072
VA
Other
Enumeration date
03/13/2014
Last updated
06/11/2014
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