Organization
ACTIVE LIFE CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT NICOLAS MASON D.C. (OWNER)
(614) 905-7531
Entity
Organization
Contact information
Practice address
7940 WILLIAMS POND LN STE 225, CHARLOTTE, NC 28277-8411
(614) 905-7531
Mailing address
3525 ROCHFORT BRIDGE DR, COLUMBUS, OH 43221-4580
(614) 905-7531
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4135
NC
Other
Enumeration date
08/29/2011
Last updated
09/12/2011
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