| NPI | 1255624136 |
|---|---|
| Doing Business As | B.L. BLACK CLINIC OF CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW R WURST Owner/Doctor 843-884-3506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 2276) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |