Organization
SOUTHEAST SPINE & WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN MICHAEL GENTHNER D.C. (OWNER/DOCTOR OF CHIROPRACTIC)
(757) 399-4700
Entity
Organization
Contact information
Practice address
355 CRAWFORD ST, SUITE 105, PORTSMOUTH, VA 23704-2816
(757) 399-4700
(757) 399-0011
Mailing address
355 CRAWFORD ST, SUITE 105, PORTSMOUTH, VA 23704-2816
(757) 399-4700
(757) 399-0011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556637
VA
Other
Enumeration date
04/01/2009
Last updated
07/08/2014
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