Organization
EQUILIBRIUM CHIROPRACTIC PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE TYLER STAFFORD DC (OWNER/CEO)
(336) 870-2522
Entity
Organization
Contact information
Practice address
5006 HIGH POINT RD STE C, GREENSBORO, NC 27407-6235
(336) 870-2522
Mailing address
931B S MAIN ST # 145, KERNERSVILLE, NC 27284-7439
(336) 870-2522
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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