| NPI | 1114943099 |
|---|---|
| Doing Business As | SOUTHERN STATES FAMILY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | GLENN GEADA Owner 803-283-8442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 2158) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 3884) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |