Center for Family Wellness, PA

Organization Active NPI Internist Chiropractor · Sparta, NC

NPI 1376590141 · NPPES record last updated May 19, 2014

Key facts

NPI
1376590141
Entity type
Organization (NPI type 2)
Primary specialty
Internist Chiropractor 111NI0900X
License
1643 (NC)
Legal business name
CENTER FOR FAMILY WELLNESS, PA
Practice address
325 South Main Street
Sparta, NC 28675
Phone
(336) 372-1666
NPI assigned
May 27, 2006
Organization subpart
No

Authorized official

Name
Dr. Todd A Smith, DC
Title
President
Phone
(336) 372-1666

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111NI0900X 1643 NC Yes

Addresses

Primary practice location

325 South Main Street
Sparta, NC 28675

Mailing address

PO Box 1827
Sparta, NC 28675-1827
Phone (336) 372-1666

Other identifiers

IdentifierTypeStateIssuer
0118COtherNCBCBS - CORPORATE
890882CMedicaidNC
790118CMedicaidNC
0882COtherNCBCBS - INDIVIDUAL

Other providers in Sparta, NC

All providers in Sparta, NC · Internist Chiropractor in North Carolina

Sources for this page

Verify at the official NPI Registry.