Fentress Chiropractic, Inc

NPI 1780909457 - Clinic/Center - 261Q00000X

NPI Details
NPI 1780909457
Enumeration Date 04/06/2010
Last Updated 05/20/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name MATTHEW WAYNE MATTHEW
Position PRESIDENT
Phone (252) 435-6131
Fax (252) 435-6852
Practice Location
112 COMMERCIAL DR
A
MOYOCK NC, 27958-8746, US
Phone (252) 435-6131
Fax (252) 435-6852
Business Location
112 COMMERCIAL DR
A
MOYOCK NC, 27958-8746, US
Phone (252) 435-6131
Fax (252) 435-6852
Toxanomy
Taxonomy Code 261Q00000X
License State North Carolina
License Number 3163
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According to our database, Fentress Chiropractic, Inc NPI is 1780909457, taxonomy code is 261Q00000X and license number is 3163, license state is located at North Carolina. Fentress Chiropractic, Inc physically located at 112 Commercial Dr, Moyock NC, 27958-8746. NPI Number 1033115704 has the healthcare provider type.

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1780909457 NPI number is provided on an as is basis without warranty of any kind. 1780909457 is maintained by the National Plan & Provider Enumeration System. The contents of Fentress Chiropractic, Inc are for informational purposes only.