NPI | 1194951616 |
---|---|
Former Legal Business Name | GREENVILLE ALLIANCE, LLC |
Entity Type | Organization |
Authorized Contact | JENNIFER BUSCH Practice Manager 804-592-2225 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556661) |
Enumeration Date | 2009-06-10 |
Last Update Date | 2024-08-29 |