| NPI | 1215162136 |
|---|---|
| Former Legal Business Name | TRIUNE OF LIFE CHIROPRATIC, P.C. |
| Entity Type | Organization |
| Authorized Contact | MATTHEW R. CULLUM President 803-240-8766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3457) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2014-11-25 |