Healthcare Provider Details

I. General information

NPI: 1417825241
Provider Name (Legal Business Name): MVP CHIROPRACTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2025
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 WESTOVER TER STE C
GREENSBORO NC
27408-2008
US

IV. Provider business mailing address

1420 WESTOVER TER STE C
GREENSBORO NC
27408-2008
US

V. Phone/Fax

Practice location:
  • Phone: 336-790-5088
  • Fax: 336-790-5011
Mailing address:
  • Phone: 336-790-5088
  • Fax: 336-790-5011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER MCNULTY
Title or Position: OWNER
Credential: DC
Phone: 336-790-5088