| Active Life Chiropractic, Pllc | |
|
7940 Williams Pond Ln Ste 225, Charlotte, NC 28277-8411 | |
| (614) 905-7531 | |
| Not Available |
| Full Name | Active Life Chiropractic, Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 7940 Williams Pond Ln Ste 225, Charlotte, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083994511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4135 (North Carolina) | Primary |
| Provider Name | Robert Mason |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417981374 PECOS PAC ID: 0244234599 Enrollment ID: I20111014000023 |
| Mailing Address | Practice Location Address |
|---|---|
| Active Life Chiropractic, Pllc 3525 Rochfort Bridge Dr, Columbus, OH 43221-4580 Ph: (614) 905-7531 | Active Life Chiropractic, Pllc 7940 Williams Pond Ln Ste 225, Charlotte, NC 28277-8411 Ph: (614) 905-7531 |
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