Organization
LEGACY CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FREDERICK BALLAM D.C. (OWNER)
(515) 509-1792
Entity
Organization
Contact information
Practice address
737 BRANNIFF DR, CARY, NC 27513-4109
(515) 509-1792
Mailing address
737 BRANNIFF DR, SUITE 106, CARY, NC 27513-4109
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4339
NC
Other
Enumeration date
05/18/2013
Last updated
05/18/2013
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