Organization
BODE CHIROPRACTIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN W BODE D.C. (OWNER)
(910) 695-1500
Entity
Organization
Contact information
Practice address
300 MAGNOLIA SQUARE CT, ABERDEEN, NC 28315-2227
(910) 695-1500
(910) 695-1505
Mailing address
300 MAGNOLIA SQUARE CT, ABERDEEN, NC 28315-2227
(910) 695-1500
(910) 695-1505
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2433
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890829M
—
NC
Enumeration date
01/17/2007
Last updated
02/01/2008
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