| Greater Life Chiropractic | |
|
624 Tyvola Rd, Suite 100, Charlotte, NC 28217-3578 | |
| (704) 770-8436 | |
| Not Available |
| Full Name | Greater Life Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 624 Tyvola Rd, 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 |
|---|---|---|---|
| 1831595347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4490 (North Carolina) | Primary |
| Provider Name | Grant K Lisetor |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477957371 PECOS PAC ID: 9739406265 Enrollment ID: I20150323000843 |
| Provider Name | Patrick Lee Houser |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1912565755 PECOS PAC ID: 1557691060 Enrollment ID: I20190926001153 |
| Provider Name | Kelsey Fierke |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1447855796 PECOS PAC ID: 4385057405 Enrollment ID: I20210111001744 |
| Provider Name | Troy H Rutledge |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528792157 PECOS PAC ID: 4183008592 Enrollment ID: I20220902002863 |
| Provider Name | Anthony Curtis Hambright |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427745843 PECOS PAC ID: 5799144176 Enrollment ID: I20230703000881 |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Life Chiropractic 624 Tyvola Rd, Suite 100, Charlotte, NC 28217-3578 Ph: () - | Greater Life Chiropractic 624 Tyvola Rd, Suite 100, Charlotte, NC 28217-3578 Ph: (704) 770-8436 |
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