Organization
ACTIVE CHIROPRACTIC REHAB AND ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN HAYNES DC (OWNTER)
(704) 380-2800
Entity
Organization
Contact information
Practice address
519 BROOKDALE DR, STATESVILLE, NC 28677-4107
(704) 380-2800
Mailing address
519 BROOKDALE DR, STATESVILLE, NC 28677-4107
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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