| NPI | 1013021799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA LYNN COURSON Chiropractor/Owner 843-971-8814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 2533) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 2532) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2012-04-03 |