NPI | 1215158548 |
---|---|
Other Name | DMX IMAGING OF ANDERSON |
Entity Type | Organization |
Authorized Contact | GARY LEE WICKISER Owner Dc 864-224-0283 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: MI 645) |
Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: MI 645) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2025-09-11 |