Organization
SOUTHERN STATES CHIROPRACTIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN O'HARE D.O. (PRESIDENT)
(704) 375-3218
Entity
Organization
Contact information
Practice address
1319 THE PLZ, CHARLOTTE, NC 28205-3427
(704) 375-3218
Mailing address
1319 THE PLZ, CHARLOTTE, NC 28205-3427
(704) 375-3218
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
1647
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053515460
—
NC
Enumeration date
02/08/2008
Last updated
04/03/2008
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