Individual
DR. TARA STATEN GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
224 WESTINGHOUSE BLVD STE 606, CHARLOTTE, NC 28273-6248
(704) 369-5700
(704) 817-3070
Mailing address
224 WESTINGHOUSE BLVD STE 606, CHARLOTTE, NC 28273-6248
(704) 369-5700
(704) 817-3070
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3133
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH 2905
—
SC
Enumeration date
11/29/2006
Last updated
03/19/2024
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