Organization
ELITE SPINE AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG CHAVIS DC (OWNER)
(410) 569-7015
Entity
Organization
Contact information
Practice address
2107 LAUREL BUSH RD, SUITE B, BEL AIR, MD 21015-6181
(410) 569-7015
(410) 569-7017
Mailing address
2107 LAUREL BUSH RD, SUITE B, BEL AIR, MD 21015-6181
(410) 569-7015
(410) 569-7017
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S02040
MD
Other
Enumeration date
08/21/2009
Last updated
11/11/2009
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