Healthcare Provider Details

I. General information

NPI: 1891033536
Provider Name (Legal Business Name): WNC CHIROPRACTIC AND WELLNESS CENTER, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2013
Last Update Date: 01/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

192 E CHESTNUT ST SUITE D
ASHEVILLE NC
28801-2350
US

IV. Provider business mailing address

PO BOX 171
GERTON NC
28735-0171
US

V. Phone/Fax

Practice location:
  • Phone: 828-255-0007
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4051
License Number StateNC

VIII. Authorized Official

Name: KATHRYN MURRAY
Title or Position: PRESIDENT
Credential: DC
Phone: 828-702-8709