NPI | 1174961882 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANE CONNER President 803-359-2273 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Additional Taxonomies | 111N00000X Chiropractor |
363L00000X Nurse Practitioner | |
Enumeration Date | 2013-06-05 |
Last Update Date | 2013-06-05 |