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Southridge Advanced Chiropractic
Chiropractor in Charleston, West Virginia
NPI 1699960351

Southridge Advanced Chiropractic is a Chiropractor based in Charleston, WV. Southridge Advanced Chiropractic practices in Charleston, WV. The NPI Number for Southridge Advanced Chiropractic is 1699960351 and holds a License No. 111N00000X (West Virginia).

The current practice location address for Southridge Advanced Chiropractic is 100 Peyton Way, Charleston, WV and can be reached out via phone at 850-557-0104.

Location: 100 Peyton Way, Charleston, WV, 25309-8572
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699960351
Provider Name
Southridge Advanced Chiropractic
Credential
Provider Entity Type
Organization
Address
100 Peyton Way, Charleston, WV, 25309-8572
Phone Number
850-557-0104
Fax Number
Provider Enumeration Date
09/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Peyton Way
City
Charleston
State
West Virginia
Zip
25309-8572
Phone Number
850-557-0104
Fax Number
person
Provider Business Mailing Address Details
Address
100 Peyton Way
City
Charleston
State
West Virginia
Zip
25309-8572
Phone Number
850-557-0104
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
111N00000X (West Virginia)
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.
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