Provider Demographics
NPI:1487688636
Name:FOOTHILLS WELLNESS CENTER INC.
Entity Type:Organization
Organization Name:FOOTHILLS WELLNESS CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:PICONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-859-5004
Mailing Address - Street 1:2186 LYNN RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NC
Mailing Address - Zip Code:28722
Mailing Address - Country:US
Mailing Address - Phone:828-859-5004
Mailing Address - Fax:828-859-5007
Practice Address - Street 1:2186 LYNN RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NC
Practice Address - Zip Code:28722-4479
Practice Address - Country:US
Practice Address - Phone:828-859-5004
Practice Address - Fax:828-859-5007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2011-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3191111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty