| NPI | 1376607291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL FIELDS Owner 803-787-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 2603) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 900) |
| 111N00000X Chiropractor (Licence: SC 2168) | |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2014-09-23 |