Organization
COASTAL VITALITY, LLC
Active
Other names
Upper Cervical Spine Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACHARY SHAW DC (CHIROPRACTOR)
(937) 689-2603
Entity
Organization
Contact information
Practice address
7122 MARKET ST STE A-140, WILMINGTON, NC 28411-9890
(937) 689-2603
Mailing address
7122 MARKET ST STE A-140, WILMINGTON, NC 28411-9890
(937) 689-2603
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/16/2021
Last updated
10/16/2021
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