PROVIDENCE HEALTH CENTER NPI 1609153345

NPI Information

PROVIDENCE HEALTH CENTER is a chiropractor in Charlotte, NC. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. PROVIDENCE HEALTH CENTER NPI is 1609153345. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6911 SHANNON WILLOW RD
SUITE 500
CHARLOTTE, NC
ZIP 28226-351
Phone: (704) 800-7414
Fax: (704) 817-3390

The provider's authorized official is Anthony D Hyser .
The authorized official title is President and has the following contact phone number (704) 620-8856.

The enumeration date for this NPI number is 11/9/2011 and was last updated on 11/9/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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