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Organization

EASTWIND CHIROPRACTIC CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID MATHEW INNIS D.C. (CHIROPRACTOR)
(704) 545-7410
Entity
Organization

Contact information

Practice address
9929 ALBEMARLE RD, STE 3B, CHARLOTTE, NC 28227-3371
(704) 545-7410
(980) 939-6336
Mailing address
9929 ALBEMARLE RD, STE 3B, CHARLOTTE, NC 28227-3371
(704) 545-7410
(980) 939-6336

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1394
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7908353
NC
Enumeration date
08/17/2011
Last updated
08/17/2011
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