| NPI | 1295295889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA JO WALTON Chiropactic Physician 843-508-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner |
| 111NN1001X Chiropractor, Nutrition | |
| 111NP0017X Chiropractor, Pediatric Chiropractor | |
| 111NR0400X | |
| 111NS0005X Chiropractor, Sports Physician | |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-03-21 |