Organization
ACCIDENT AND INJURY CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD KYLE SHACKELFORD DC (OWNER PRES)
(540) 334-5571
Entity
Organization
Contact information
Practice address
ACCIDENT AND INJURY CHIROPRACTIC PC, 20385 VIRGIL H GOODE HWY STE 1, ROCKY MOUNT, VA 24151
(540) 334-5571
(540) 334-5289
Mailing address
ACCIDENT AND INJURY CHIROPRACTIC PC, 20385 VIRGIL H GOODE HWY STE 1, ROCKY MOUNT, VA 24151
(540) 334-5571
(540) 334-5289
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001567
VA
Other
Enumeration date
11/21/2006
Last updated
08/22/2020
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