Individual
DR. SAM BRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
19315 W CATAWBA AVE, SUITE 100, CORNELIUS, NC 28031-8650
(704) 896-1811
(704) 896-1812
Mailing address
1570 ABERCORN ST NW, CONCORD, NC 28027-3545
(704) 886-5156
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3320
NC
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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