| NPI | 1275651531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN K STANTON, JR. Owner 843-774-8438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 794) |
| Additional Taxonomies | 174400000X Specialist (Licence: SC 159875) |
| 261Q00000X Clinic/Center (Licence: SC 794) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |