| NPI | 1225160302 |
|---|---|
| Doing Business As | WILLIS CHIRO MED |
| Entity Type | Organization |
| Authorized Contact | JOHN F BRYAN Owner 843-332-6191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 2622) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2008-01-09 |