Organization
BLUE RIDGE CHIROPRACTIC CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOAH ALAN MALAVOLTI D.C. (DIRECTOR)
(276) 227-0414
Entity
Organization
Contact information
Practice address
1135 W LEE HWY, WYTHEVILLE, VA 24382-1525
(276) 227-0414
(276) 227-0416
Mailing address
1135 W LEE HWY, WYTHEVILLE, VA 24382-1525
(276) 227-0414
(276) 227-0416
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
02/22/2007
Last updated
03/10/2008
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