Individual
MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9808 NORTHEAST PKWY, MATTHEWS, NC 28105-3742
(704) 845-0699
Mailing address
8032 BLACK FOREST LN APT 10208, CHARLOTTE, NC 28277-6757
(567) 239-5393
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5062
NC
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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