SOUTH CHARLOTTE CHIROPRACTIC PLLC NPI 1962578716

NPI Information

NPI: 1962578716
Provider Name: SOUTH CHARLOTTE CHIROPRACTIC PLLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
8179 ARDREY KELL RD
STE 102
CHARLOTTE, NC
ZIP 28277
Phone: (704) 841-1122
Get Directions

SOUTH CHARLOTTE CHIROPRACTIC PLLC 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. SOUTH CHARLOTTE CHIROPRACTIC PLLC NPI is 1962578716. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8179 ARDREY KELL RD
STE 102
CHARLOTTE, NC
ZIP 28277
Phone: (704) 841-1122
Fax: (704) 841-1133

The provider's authorized official is Natalie George Randazzo .
The authorized official title is Chiroprator Owner and has the following contact phone number (704) 841-1122.

The enumeration date for this NPI number is 11/24/2006 and was last updated on 8/22/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		3066	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	80985G7	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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