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

TaxonomyCodeLicense
Chiropractor Primary 111N00000XS04059 (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.