Individual
DEREK MAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7810 BALLANTYNE COMMONS PKWY STE 101, CHARLOTTE, NC 28277-3416
(704) 543-4307
Mailing address
7810 BALLANTYNE COMMONS PKWY STE 101, CHARLOTTE, NC 28277-3416
(812) 345-2151
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4327
NC
Other
Enumeration date
11/21/2011
Last updated
10/27/2021
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