Organization
ACTIVE HEALTH CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON COURTNEY WHITEHURST D.C. (OWNER)
(252) 975-6878
Entity
Organization
Contact information
Practice address
103 BERNARD COURT, CHOCOWINITY, NC 27817
(252) 975-6878
(252) 975-6816
Mailing address
PO BOX 343, CHOCOWINITY, NC 27817-0343
(252) 975-6878
(252) 975-6816
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3795
NC
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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