Organization
SRCDC INC
Active
Other names
LUMBERTON CHIROPRACTIC CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN ROBERT COSTA D C (PRESIDENT)
(910) 738-3600
Entity
Organization
Contact information
Practice address
4914 FAYETTEVILLE RD, LUMBERTON, NC 28358-2110
(910) 738-3600
(910) 671-9385
Mailing address
4914 FAYETTEVILLE RD, LUMBERTON, NC 28358-2110
(910) 738-3600
(910) 671-9385
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1599
NC
Other
Enumeration date
01/15/2010
Last updated
01/21/2010
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