Healthcare Provider Details

I. General information

NPI: 1093035313
Provider Name (Legal Business Name): BETTER BRAIN & BODY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2010
Last Update Date: 01/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11230 CARMEL COMMONS BLVD
CHARLOTTE NC
28226
US

IV. Provider business mailing address

11230 CARMEL COMMONS BLVD
CHARLOTTE NC
28226
US

V. Phone/Fax

Practice location:
  • Phone: 704-752-8100
  • Fax: 704-752-0240
Mailing address:
  • Phone: 704-752-8100
  • Fax: 704-752-0240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: MRS. ALICIA MARIE BROWN
Title or Position: OWNER
Credential: DCDACNB
Phone: 704-752-8100