Individual provider · Type 1 NPI
Xavier Grant-Stovall, DC
Chiropractor · Frederick, MD
NPI number
1205501905
Active
Practice location
7820 Wormans Mill Rd Ste Y
Frederick, MD 21701-3037
Mailing address
391 Tayside Way
Hyattsville, MD 20785-4769
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | S04059 (MD) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1205501905
Xavier Grant-Stovall, DC's National Provider Identifier is 1205501905, issued on Aug 13, 2021. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Frederick, MD. The record was last updated on Aug 13, 2021.