Organization
THOMAS CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWAYNE ERVIN THOMAS II D.C. (OWNER)
(704) 568-2447
Entity
Organization
Contact information
Practice address
5527 MONROE RD, CHARLOTTE, NC 28212-5503
(704) 568-2447
(704) 568-2591
Mailing address
5527 MONROE RD, CHARLOTTE, NC 28212-5503
(704) 568-2447
(704) 568-2591
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1534
NC
111N00000X
Chiropractor
4383
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7908844
—
NC
Enumeration date
08/15/2013
Last updated
08/15/2013
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