Individual
DR. MARK DIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3045 SHAKER DR, CHARLOTTE, NC 28210-4849
(704) 554-1141
Mailing address
3045 SHAKER DR, CHARLOTTE, NC 28210-4849
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1512
NC
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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