| NPI | 1295713519 |
|---|---|
| Other Name | HEALTHSOURCE |
| Entity Type | Organization |
| Authorized Contact | CAROLE A MARTIN Owner 843-238-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 2253) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 2851) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2014-12-19 |