Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southridge Advanced Chiropractic

Organization Chiropractor · NPI 1699960351

Southridge Advanced Chiropractic is a Chiropractor in Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2007.

Licensed in
WV
In the registry since
2007

Practice location Address checks out

100 Peyton Way Ste 201
Charleston, WV 25309-8572
Phone: (850) 557-0104
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 111N00000X (WV)

Record details

NPI number1699960351
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jody Eastwood — Owner · (850) 557-0104
NPI enumeratedSeptember 6, 2007
Last updated in NPPESSeptember 6, 2007
Mailing address100 Peyton Way, Suite 201, Charleston, WV 25309-8572

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