Organization
SPRING OF LIFE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINTON BANEY DC (OWNER)
(757) 560-7987
Entity
Organization
Contact information
Practice address
1101 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320-4735
(757) 560-7987
Mailing address
1101 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320-4735
(757) 560-7987
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557252
VA
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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