Provider Demographics
NPI:1316759210
Name:TINDALL, COLTON (DC)
Entity type:Individual
Prefix:DR
First Name:COLTON
Middle Name:
Last Name:TINDALL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:ALEC
Other - Middle Name:
Other - Last Name:TINDALL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:1331 W MOREHEAD ST APT 240
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-5373
Mailing Address - Country:US
Mailing Address - Phone:502-310-2623
Mailing Address - Fax:
Practice Address - Street 1:8832 BLAKENEY PROFESSIONAL DR STE 101
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-6717
Practice Address - Country:US
Practice Address - Phone:502-310-2623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5869111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor