Marc Jason Surprenant D.C.

NPI 1083839179 - Chiropractor - 111N00000X

NPI Details
NPI 1083839179
Gender Male
Enumeration Date 04/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
7245 PINEVILLE MATTHEWS RD
SUITE 300
CHARLOTTE NC, 28226-6163, US
Phone (704) 540-0055
Fax (704) 540-0102
Business Location
7245 PINEVILLE MATTHEWS RD
SUITE 300
CHARLOTTE NC, 28226-6163, US
Phone (704) 540-0055
Fax (704) 540-0102
Toxanomy
Taxonomy Code 111N00000X
License State North Carolina
License Number NC3119
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According to our database, Dr. Marc Jason Surprenant D.C. NPI is 1083839179, taxonomy code is 111N00000X and license number is NC3119, license state is located at North Carolina. Marc Jason Surprenant D.C. physically located at 7245 Pineville Matthews Rd, Charlotte NC, 28226-6163. NPI Number Marc Jason Surprenant D.C. has the Individual type.

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1083839179 NPI number is provided on an as is basis without warranty of any kind. 1083839179 is maintained by the National Plan & Provider Enumeration System. The contents of Marc Jason Surprenant D.C. are for informational purposes only.