| NPI | 1215280581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANDY CLEVELAND GOSNELL Business Office Manager 864-254-9915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3493) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2017-10-17 |