Provider Demographics
NPI:1275315350
Name:WAVES OF WELLNESS CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:WAVES OF WELLNESS CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMBERLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-903-3538
Mailing Address - Street 1:217 BRONZE DR
Mailing Address - Street 2:
Mailing Address - City:ROCKY POINT
Mailing Address - State:NC
Mailing Address - Zip Code:28457-1411
Mailing Address - Country:US
Mailing Address - Phone:603-903-3538
Mailing Address - Fax:
Practice Address - Street 1:473 OLDE WATERFORD WAY STE 118
Practice Address - Street 2:
Practice Address - City:BELVILLE
Practice Address - State:NC
Practice Address - Zip Code:28451-4208
Practice Address - Country:US
Practice Address - Phone:910-859-8359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty