| NPI | 1366403529 |
|---|---|
| Doing Business As | WILLIS CHIRO MED |
| Entity Type | Organization |
| Authorized Contact | SUELLYN GARD WILLIS Senior Om 803-699-0293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 1078) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2020-08-22 |