Organization
GOTRO CHIROPRACTIC OF INDIAN TRAIL
Active
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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