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Organization

FAMILY WELLNESS CHIROPRACTIC, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TERESA FOSTER HOGAN (OFFICE MANAGER)
(919) 872-1130
Entity
Organization

Contact information

Practice address
4229 LOUISBURG RD STE 101, RALEIGH, NC 27604-4345
(919) 872-1130
(919) 872-1125
Mailing address
4229 LOUISBURG RD STE 101, RALEIGH, NC 27604-4345
(919) 872-1130
(919) 872-1125

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2535
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7908255
NC
Enumeration date
06/30/2008
Last updated
01/06/2009
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