Provider Demographics
NPI:1124590062
Name:CHARLOTTE FAMILY CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:CHARLOTTE FAMILY CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MERRIWETHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-756-5944
Mailing Address - Street 1:9641 BROOKDALE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-8706
Mailing Address - Country:US
Mailing Address - Phone:407-756-5944
Mailing Address - Fax:
Practice Address - Street 1:9641 BROOKDALE DR STE 200
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-8706
Practice Address - Country:US
Practice Address - Phone:407-756-5944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-17
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty