Individual
DR. JEFF HOLZWORTH SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3960 EXECUTIVE PARK BLVD STE 5, SOUTHPORT, NC 28461-8184
(910) 454-8100
(910) 454-8101
Mailing address
3960 EXECUTIVE PARK BLVD STE 5, SOUTHPORT, NC 28461-8184
(910) 454-8100
(910) 454-8101
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2905
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89085AY
—
NC
Enumeration date
03/31/2006
Last updated
05/01/2019
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