NPI | 1255662748 |
---|---|
Doing Business As | HEALTHSOURCE OF WEST ASHLEY |
Entity Type | Organization |
Authorized Contact | NATHAN EVAN WIEDRICH Owner 843-225-1236 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2010-01-22 |
Last Update Date | 2010-01-22 |