Provider Demographics
NPI:1932502903
Name:SMITH CHIROPRACTIC AND WELLNESS
Entity Type:Organization
Organization Name:SMITH CHIROPRACTIC AND WELLNESS
Other - Org Name:SCHULTZ - ELLIS CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:GARLAND
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:910-642-2481
Mailing Address - Street 1:100 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-4132
Mailing Address - Country:US
Mailing Address - Phone:910-642-2481
Mailing Address - Fax:910-642-9010
Practice Address - Street 1:100 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-4132
Practice Address - Country:US
Practice Address - Phone:910-642-2481
Practice Address - Fax:910-642-9010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-03
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3301111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty