| NPI | 1083998249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL J SALEGO President 843-640-9758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor Nutrition (Licence: DC010444) |
| Additional Taxonomies | 111NS0005X Chiropractor Sports Physician (Licence: PA DC010444) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |