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Organization

SOUTH CHARLOTTE CHIROPRACTIC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NATALIE GEORGE RANDAZZO DC (CHIROPRATOR OWNER)
(704) 841-1122
Entity
Organization

Contact information

Practice address
8179 ARDREY KELL RD, STE 102, CHARLOTTE, NC 28277
(704) 841-1122
(704) 841-1133
Mailing address
PO BOX 78530, CHARLOTTE, NC 28271
(704) 841-1122
(704) 841-1133

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3066
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
80985G7
NC
Enumeration date
11/24/2006
Last updated
08/22/2020
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