Organization
CHARLOTTE CHIROPRACTIC AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK MAUL DC (OWNER/CHIROPRACTOR)
(704) 543-4307
Entity
Organization
Contact information
Practice address
7810 BALLANTYNE COMMONS PKWY, 101, CHARLOTTE, NC 28277
(704) 543-4307
Mailing address
7810 BALLANTYNE COMMONS PKWY, 101, CHARLOTTE, NC 28277
(704) 543-4307
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4327
NC
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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