Organization
MOMENTUM SPORT & SPINE, PC
Active
Organization
MOMENTUM SPORT & SPINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY DAVID WIEST DC (OWNER)
(980) 253-6547
Entity
Organization
Contact information
Practice address
424 ZIMMER RD, FORT MILL, SC 29707
(980) 253-6547
Mailing address
1212 ROSECLIFF DR, WAXHAW, NC 28173-0162
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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