Organization
PROVIDENCE HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY D HYSER DC (PRESIDENT)
(704) 620-8856
Entity
Organization
Contact information
Practice address
6911 SHANNON WILLOW RD, SUITE 500, CHARLOTTE, NC 28226-1351
(704) 800-7414
(704) 817-3390
Mailing address
6911 SHANNON WILLOW RD, SUITE 500, CHARLOTTE, NC 28226-1351
(704) 800-7414
(704) 817-3390
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3825
NC
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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