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Organization

TRINITY CHIROPRACTIC, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HOJOON SONG D.C. (PRESIDENT)
(704) 566-6132
Entity
Organization

Contact information

Practice address
2301 RAMA RD, SUITE A, CHARLOTTE, NC 28212-6237
(704) 566-6132
(704) 566-3133
Mailing address
2301 RAMA RD, SUITE A, CHARLOTTE, NC 28212-6237
(704) 566-6132
(704) 566-3133

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3236
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2348674
MEDICARE ID - GROUP
NC
05
89085UM
NC
Enumeration date
11/08/2006
Last updated
01/30/2012
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