Organization
HIGH TIDE CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA LEVI BRADBURN DC (OWNER)
(910) 408-1747
Entity
Organization
Contact information
Practice address
2155 BRITTON RD # 110, LELAND, NC 28451-1929
(910) 408-1747
Mailing address
2155 BRITTON RD # 110, LELAND, NC 28451-1929
(910) 408-1747
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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