Organization
DMB CHIROPRACTIC PLLC
Active
Other names
Keith Clinic of Chiropractic, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE ALLEN BROUSE DC (OWNER)
(704) 553-1950
Entity
Organization
Contact information
Practice address
7701 SHARON LAKES RD, STE 1, CHARLOTTE, NC 28210-4700
(704) 553-1950
(704) 553-1951
Mailing address
7701 SHARON LAKES RD, STE 1, CHARLOTTE, NC 28210-4700
(704) 553-1950
(704) 553-1951
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3389
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50908981
—
NC
Enumeration date
04/08/2011
Last updated
10/10/2023
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