Organization Name: | SHALLOTTE CHIROPRACTIC PLLC |
NPI Number: | 1336386903 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROL A MYNATT (OWNER) |
Mailing Address: | 4501 Main St Ste 2 Shallotte |
State: | NC US |
Postal Code: | 284704585 |
Phone Number: | 9107548090 |
Fax Number: | 9107548480 |
NPI Enumeration Date: | 01/19/2009 |
NPI Last Update Date: | 08/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 3839 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |