Organization
ADVANCED FAMILY CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES DOUGLAS PIERSOL DC DACRB (OWNER)
(740) 374-3232
Entity
Organization
Contact information
Practice address
326 3RD STREET, MARIETTA, OH 45750
(740) 374-3232
(740) 374-3436
Mailing address
PO BOX 965, MARIETTA, OH 45750-0965
(740) 374-3232
(740) 374-3436
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0690793
—
OH
05
—
3810006157
—
WV
Enumeration date
09/15/2006
Last updated
10/30/2007
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