Organization
SPORTS AND SPINE HEALTHCARE LLC
Active
Other names
Evergreen Healthcare Associates, Sports & Spine Healthcare LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRISHMA PATEL DC (CEO)
(848) 219-2657
Entity
Organization
Contact information
Practice address
1027 E CHESTNUT AVE, VINELAND, NJ 08360-5838
(856) 691-6055
Mailing address
1027 E CHESTNUT AVE, VINELAND, NJ 08360-5838
(856) 691-6055
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
03/31/2021
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