NPI | 1023372943 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN MCKAY Officer/Director 843-669-1010 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation |
Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
207Q00000X Family Medicine | |
Enumeration Date | 2012-06-25 |
Last Update Date | 2012-06-25 |