| NPI | 1053863225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GALLAGHER Owner 843-539-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC SC3375) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC SC4148) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2016-11-03 |