Organization
WELLNESS SOLUTIONS INC
Active
Other names
Family Chiropractic of Westport
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALLEN THERIAULT DC (PRESIDENT/OWNER)
(704) 578-9979
Entity
Organization
Contact information
Practice address
1895 NORTH HIGHWAY 16, DENVER, NC 28037
(704) 489-2273
(704) 489-2274
Mailing address
PO BOX 1375, DENVER, NC 28037
(704) 489-2273
(704) 489-2274
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2346
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890833H
—
NC
Enumeration date
10/06/2006
Last updated
08/22/2020
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