Organization
PASSIONATELY PRINCIPLED
Active
Organization
PASSIONATELY PRINCIPLED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DREW-MONTEZ CLARK (CHIROPRACTOR)
(770) 712-5719
Entity
Organization
Contact information
Practice address
2550 W ARROWOOD RD, SUITE 104, CHARLOTTE, NC 28273-6651
(770) 712-5719
Mailing address
12324 HAYMARKET RD, CHARLOTTE, NC 28214-9209
(770) 712-5719
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
4152
NC
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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