Provider Demographics
NPI:1033715198
Name:ABINGDON CHIROPRACTIC CENTER PC
Entity Type:Organization
Organization Name:ABINGDON CHIROPRACTIC CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:DOUTS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-994-2584
Mailing Address - Street 1:103 CHARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24210-2476
Mailing Address - Country:US
Mailing Address - Phone:276-628-8167
Mailing Address - Fax:276-628-8167
Practice Address - Street 1:103 CHARWOOD DR
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24210-2476
Practice Address - Country:US
Practice Address - Phone:276-628-8167
Practice Address - Fax:276-628-8167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty