NPI | 1053404913 |
---|---|
Entity Type | Organization |
Authorized Contact | KATRINA GUNN Assistant Office Manager 803-359-2273 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 2770) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2012-08-07 |