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Organization

DR. BARON HOLT

Active
Other names
Revolution Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BARON GABLE HOLT D. C. (OWNER)
(423) 748-5095
Entity
Organization

Contact information

Practice address
2315 LYNN RD, SUITE 103, RALEIGH, NC 27612-6743
(423) 748-5095
Mailing address
2315 LYNN RD, RALEIGH, NC 27612-6743
(423) 748-5095

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
4061
NC
261QH0100X
Health Service Clinic/Center
4061
NC

Other

Enumeration date
02/22/2010
Last updated
02/22/2010
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