| NPI | 1336133313 |
|---|---|
| Doing Business As | AUGUSTA STREET CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROGER STEVEN JAYNES Owner 864-232-0082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 1108) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2008-06-27 |