Organization
KEITH CLINIC OF CHIROPRACTIC OF MONROE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERRELL K PITTMAN DC (OWNER)
(704) 291-9000
Entity
Organization
Contact information
Practice address
2606 W ROOSEVELT BLVD STE A, MONROE, NC 28110-8327
(704) 291-9000
(704) 291-9102
Mailing address
2606 W ROOSEVELT BLVD STE A, MONROE, NC 28110-8327
(704) 291-9000
(704) 291-9102
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890105R
—
NC
Enumeration date
12/20/2005
Last updated
04/29/2011
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