| NPI | 1104152990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL CHADWICK TROTTER Owner / Organizer 864-898-1318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3329) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2009-10-28 |