| NPI | 1184710287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA CHRISTENSEN HOPKINS Administrator 803-644-7897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: SC CH1305) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: SC CH2685) |
| 207Q00000X Family Medicine (Licence: SC 19409) | |
| 225100000X Physical Therapist (Licence: SC 4792) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-10-16 |