Organization
ACTIVE LIVING CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TABATHA BULLOCK WIRTH (BILLING/WIFE)
(252) 756-6111
Entity
Organization
Contact information
Practice address
704 E. ARLINGTON BLVD., GREENVILLE, NC 27858
(252) 756-6111
(252) 756-6904
Mailing address
704 E. ARLINGTON BLVD., GREENVILLE, NC 27858
(252) 756-6111
(252) 756-6904
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4057
NC
Other
Enumeration date
03/09/2010
Last updated
04/24/2023
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