Organization
NOVA CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY CARLISLE DC (PRESIDENT)
(704) 208-4477
Entity
Organization
Contact information
Practice address
3535 RANDOLPH RD, SUITE 202R, CHARLOTTE, NC 28211-1086
(704) 208-4477
(704) 665-5167
Mailing address
3535 RANDOLPH RD, SUITE 202R, CHARLOTTE, NC 28211-1086
(704) 208-4477
(704) 665-5167
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2071
NC
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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