Organization
MAGNOLIA SPECIFIC CHIROPRACTIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KEVIN DAVIS D.C. (PRESIDENT)
(336) 285-8573
Entity
Organization
Contact information
Practice address
1209A MAGNOLIA ST, GREENSBORO, NC 27401-1308
(336) 285-8573
Mailing address
1209A MAGNOLIA ST, GREENSBORO, NC 27401-1308
(336) 285-8573
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3858
NC
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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