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Organization

INDIAN TRAIL SPECIFIC CHIROPRACTIC INC

Active
Other names
Carolinas Family Spine Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CORINNE EASTERLING WEAVER D.C. (PRESIDENT)
(704) 882-1488
Entity
Organization

Contact information

Practice address
14015 INDEPENDENCE BLVD STE D, INDIAN TRAIL, NC 28079-9668
(704) 882-1488
(704) 882-1448
Mailing address
14015 INDEPENDENCE BLVD STE D, INDIAN TRAIL, NC 28079-9668
(704) 882-1488
(704) 882-1448

Taxonomy

Speciality
Code
Description
License number
State
111NT0100X
Thermography Chiropractor
Primary
3225
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89015PP
NC
Enumeration date
07/30/2006
Last updated
03/30/2012
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