Individual
DR. GLENN PHOENIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1846 E FRANKLIN BLVD, GASTONIA, NC 28054-4700
(704) 864-0356
(704) 868-0858
Mailing address
1846 E FRANKLIN BLVD, GASTONIA, NC 28054-4700
(704) 864-0356
(704) 868-0858
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1134
NC
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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