Individual
DR. CHANCELLOR EUGENE FOULKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6454 OLD BEULAH ST, ALEXANDRIA, VA 22315-3721
(703) 832-0990
Mailing address
2150 RUTLAND CT, WOODBRIDGE, VA 22191-4456
(773) 322-7993
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557485
VA
Other
Enumeration date
04/28/2018
Last updated
04/28/2018
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