Individual
BRAINARD LEE ACKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
119 WEST WOODHILL DRIVE, SUITE 7, NAGS HEAD, NC 27959
(252) 480-9909
(252) 480-1828
Mailing address
PO BOX 1920, KITTY HAWK, NC 27949
(252) 480-9909
(252) 480-1828
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1673
NC
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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