Organization
AMERICAN FAMILY SPINE AND HEALTH LLC
Active
Other names
American Family Chiropratic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER DOUGLAS CLARK DC (MANAGER)
(704) 792-2700
Entity
Organization
Contact information
Practice address
3630 POPULAR TENT RD, CONCORD, NC 28027
(704) 792-2700
(704) 792-2705
Mailing address
3630 POPULAR TENT RD, CONCORD, NC 28027
(704) 792-2700
(704) 792-2705
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2391
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890825N
—
NC
Enumeration date
10/02/2006
Last updated
08/22/2020
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