Organization
BALLANTYNE ADVANCED CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON R USHER DC (OWNER)
(704) 541-7676
Entity
Organization
Contact information
Practice address
8634 CAMFIELD ST STE C, CHARLOTTE, NC 28277-3145
(704) 541-7676
(704) 541-7989
Mailing address
8634 CAMFIELD ST STE C, CHARLOTTE, NC 28277-3145
(704) 541-7676
(704) 541-7989
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3105
NC
Other
Enumeration date
02/16/2007
Last updated
08/30/2010
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