| NPI | 1063465045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAL WARREN LANGE President 843-236-6291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 2874) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: SC 2874) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2022-07-21 |