SHADY GROVE CHIROPRACTIC, LLC

IRMO, SC
NPI1295055283
Entity TypeOrganization
Authorized ContactJEFFERY DALE TOUCHET
President
803-781-0031
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: SC  2611)
Enumeration Date2010-06-02
Last Update Date2010-06-02
Business Address
SHADY GROVE CHIROPRACTIC, LLC
11134 BROAD RIVER RD STE C
IRMO, SC 29063-7616
Phone number: 803-781-0031
Mailing Address
SHADY GROVE CHIROPRACTIC, LLC
PO BOX 184
BALLENTINE, SC 29002-0184
Phone number:
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