| NPI | 1023380318 |
|---|---|
| Doing Business As | WILLIAMSBURG SPINE AND NERVE |
| Entity Type | Organization |
| Authorized Contact | SHAUNA MARIE MAZIQUE President 843-618-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2023-10-11 |