Southridge Advanced Chiropractic
NPI #1699960351 in Charleston, West Virginia
Provider Information
- NPI Number
- 1699960351
- Entity Type
- Organization
- Organization Name
- Southridge Advanced Chiropractic
- Primary Specialty
- Chiropractor
- Enumeration Date
- Sep 6, 2007
- Last Updated
- Sep 6, 2007
Practice Location
- Address
- 100 PEYTON WAY
- Address 2
- SUITE 201
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 25309-8572
- Phone
- (850) 557-0104
Authorized Official
- Name
- DR. JODY R EASTWOOD, D.C.
- Title
- OWNER
- Phone
- (850) 557-0104
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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