Provider Demographics
NPI:1629468616
Name:CHIROPRACTIC PHYSICIANS OF THE CAROLINAS - KINGS MOUNTAIN
Entity Type:Organization
Organization Name:CHIROPRACTIC PHYSICIANS OF THE CAROLINAS - KINGS MOUNTAIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:MAGAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-739-3373
Mailing Address - Street 1:110 W KING ST STE 2
Mailing Address - Street 2:
Mailing Address - City:KINGS MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28086-3437
Mailing Address - Country:US
Mailing Address - Phone:704-739-3373
Mailing Address - Fax:704-739-3918
Practice Address - Street 1:110 W KING ST STE 2
Practice Address - Street 2:
Practice Address - City:KINGS MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28086-3437
Practice Address - Country:US
Practice Address - Phone:704-739-3373
Practice Address - Fax:704-739-3918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-28
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4118111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty