| NPI | 1366953762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE G LANEY Chiropractor 864-801-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist | |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2018-03-17 |