Organization
30 CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MONBARREN DC (MANAGING MEMBER)
(704) 821-5000
Entity
Organization
Contact information
Practice address
616 INDIAN TRAIL RD S, INDIAN TRAIL, NC 28079-9680
(704) 821-5000
Mailing address
616 INDIAN TRAIL RD S, INDIAN TRAIL, NC 28079-9680
(704) 821-5000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3197
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900344
—
NC
Enumeration date
04/30/2012
Last updated
04/30/2012
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