Healthcare Provider Details
I. General information
NPI: 1407035694
Provider Name (Legal Business Name): SALUDA HEALING CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/24/2007
Last Update Date: 06/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
43 PEARSON FALLS RD
SALUDA NC
28773-9772
US
IV. Provider business mailing address
43 PEARSON FALLS RD
SALUDA NC
28773-9772
US
V. Phone/Fax
- Phone: 828-749-3875
- Fax:
- Phone: 828-749-3875
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NR0400X |
| Taxonomy | Rehabilitation Chiropractor |
| License Number | 3143 |
| License Number State | NC |
VIII. Authorized Official
Name: DR.
BONNIE
L
WILLIAMSON
Title or Position: OWNER
Credential: D.C.
Phone: 828-749-3875