Spinal Source Chiropractic LLC

NPI #1982061487 in Suffolk, Virginia

Provider Information

NPI Number: 1982061487
Entity Type: Organization
Organization Name: Spinal Source Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: Jan 28, 2016
Last Updated: May 4, 2017

Practice Location

Address: 6546 HAMPTON ROADS PKWY
Address 2: SUITE 112
City: Suffolk
State: Virginia
ZIP Code: 23435-3185
Phone: (757) 642-4945

Authorized Official

Name: DR. TAYLOR BOLLIG, D.C.
Title: OWNER/CHIROPRACTOR
Phone: (757) 642-4945

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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