Healthcare Provider Details

I. General information

NPI: 1992548663
Provider Name (Legal Business Name): SALT AND SPINE CHIROPRACTIC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2024
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4032 MASONBORO LOOP RD UNIT 101
WILMINGTON NC
28409-2752
US

IV. Provider business mailing address

4032 MASONBORO LOOP RD UNIT 101
WILMINGTON NC
28409-2752
US

V. Phone/Fax

Practice location:
  • Phone: 910-399-1171
  • Fax:
Mailing address:
  • Phone: 910-399-1171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JOHN DAVID DOYAL
Title or Position: CO-OWNER
Credential: DC
Phone: 910-803-1844