Clemmons Village Chiropractic Pllc
NPI #1760559215 in Clemmons, North Carolina
Provider Information
- NPI Number
- 1760559215
- Entity Type
- Organization
- Organization Name
- Clemmons Village Chiropractic Pllc
- Primary Specialty
- Chiropractor
- Enumeration Date
- Nov 29, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2235 LEWISVILLE CLEMMONS RD
- Address 2
- SUITE B
- City
- Clemmons
- State
- North Carolina
- ZIP Code
- 27012-8999
- Phone
- (336) 766-5935
Authorized Official
- Name
- DR. MICHAEL JOHN RICCOBONI, DC
- Title
- OWNER
- Phone
- (336) 766-5935
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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