Organization
910 CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN T AMDUR DC (OWNER)
(910) 702-4476
Entity
Organization
Contact information
Practice address
108 CHARLIE MEDLIN DR STE E, SURF CITY, NC 28445-7921
(910) 702-4476
Mailing address
108 CHARLIE MEDLIN DR STE E, SURF CITY, NC 28445-7921
(910) 702-4476
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
12/27/2022
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