Organization
STATEN CHIROPRACTIC AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA MARCELLA STATEN DC (CHIROPRACTIC PHYSICIAN)
(704) 561-0085
Entity
Organization
Contact information
Practice address
5110 PARK RD, SUITE 2A, CHARLOTTE, NC 28209-3699
(704) 771-6092
Mailing address
5110 PARK RD, SUITE 2A, CHARLOTTE, NC 28209-3699
(704) 561-0085
(704) 561-0785
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3133
NC
Other
Enumeration date
07/08/2008
Last updated
06/18/2010
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