Organization
WILLIAMSBURG NECK AND BACK CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL ROTH D.C. (DOCTOR)
(757) 345-6562
Entity
Organization
Contact information
Practice address
4808 COURTHOUSE ST, WILLIAMSBURG, VA 23188-2684
(757) 345-6562
(757) 345-6516
Mailing address
4808 COURTHOUSE ST, WILLIAMSBURG, VA 23188-2684
(757) 345-6562
(757) 345-6516
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556654
VA
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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