Organization
BLUE RIDGE HEALTH AND SPINE, PLLC
Active
Other names
Family First Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE JESSICA WEDDLE DC (OWNER)
(910) 755-5483
Entity
Organization
Contact information
Practice address
4911 BRIDGERS ROAD, SHALLOTTE, NC 28470-4474
(910) 755-5483
(910) 755-5484
Mailing address
PO BOX 1945, SHALLOTTE, NC 28459-1945
(910) 755-5483
(910) 755-5484
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4536
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184022899
—
NC
Enumeration date
09/23/2016
Last updated
09/23/2016
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