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Organization

ATLANTIC CHIROPRACTIC CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATHLEEN MARY WHITE D.C. (CHIEF FINANCIAL OFFICER)
(910) 395-2774
Entity
Organization

Contact information

Practice address
3715 PATRIOT WAY, UNIT 143, WILMINGTON, NC 28412-6907
(910) 395-2774
(910) 395-2474
Mailing address
3715 PATRIOT WAY, UNIT 143, WILMINGTON, NC 28412-6907
(910) 395-2774
(910) 395-2474

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02301
BC/BS #
NC
Enumeration date
07/18/2007
Last updated
07/18/2007
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