Organization
GOTRO CHIROPRACTIC OF INDIAN TRAIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUGH CHARLES GOTRO JR. D.C. (PRESIDENT)
(704) 882-0192
Entity
Organization
Contact information
Practice address
13803 INDEPENDENCE BLVD STE E, INDIAN TRAIL, NC 28079-7680
(704) 882-0192
(704) 882-0612
Mailing address
13803 INDEPENDENCE BLVD STE E, INDIAN TRAIL, NC 28079-7680
(704) 882-0192
(704) 882-0612
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2080
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890253K
—
NC
Enumeration date
12/18/2006
Last updated
02/07/2012
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