| NPI | 1174785901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK M O'NEILL Owner 843-225-5376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: SC 1327) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2010-12-03 |