| NPI | 1306008123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DEWAINE SMITH Owner 843-552-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: SC 3348) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |