Organization
AUTHENTIC CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL JAMES WILSON DC (OWNER/CHIROPRACTOR)
(678) 756-0469
Entity
Organization
Contact information
Practice address
6425 W WILKINSON BLVD STE H, BELMONT, NC 28012-2873
(678) 756-0469
Mailing address
6425 W WILKINSON BLVD STE H, BELMONT, NC 28012-2873
(678) 756-0469
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760791214
NPI
—
Enumeration date
02/07/2024
Last updated
04/09/2024
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