Organization
BROADHEAD CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY DAVID BROADHEAD D.C. (PRESIDENT/CHIROPRACTOR)
(980) 406-0790
Entity
Organization
Contact information
Practice address
5527 MONROE RD, CHARLOTTE, NC 28212-5503
(704) 568-2447
(704) 568-2591
Mailing address
12721 TELFAIR MEADOW DR, MINT HILL, NC 28227-8259
(980) 406-0790
(704) 568-2591
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3957
NC
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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