NPI | 1053396291 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT M. DURHAM President 864-847-1818 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 1600) |
Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
Enumeration Date | 2005-12-09 |
Last Update Date | 2011-12-06 |