Individual
DR. GRANT VIDAL RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
10716 CARMEL COMMONS BLVD STE 130, CHARLOTTE, NC 28226-3926
(704) 610-5366
(704) 997-1569
Mailing address
10716 CARMEL COMMONS BLVD STE 130, CHARLOTTE, NC 28226-3926
(704) 610-5366
(704) 997-1569
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
36215
CA
111N00000X
Chiropractor
Primary
5665
NC
Other
Enumeration date
04/07/2022
Last updated
12/12/2025
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