Organization
ACTIVE CAROLINA SPORTS AND SPINE, INC.
Active
Other names
Carolina Performance & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN JAMES DANNER D.C. (OWNER)
(704) 541-7499
Entity
Organization
Contact information
Practice address
10440 PARK RD, SUITE 200, CHARLOTTE, NC 28210-8504
(704) 541-7499
(704) 541-5565
Mailing address
10440 PARK RD, SUITE 200, CHARLOTTE, NC 28210-8504
(704) 541-7499
(704) 541-5565
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3404
SC
111N00000X
Chiropractor
Primary
3881
NC
Other
Enumeration date
09/11/2012
Last updated
11/21/2012
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