NPI | 1396191060 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON K DURHAM Office Manager 864-840-9360 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: SC sc1600) |
Additional Taxonomies | 208D00000X General Practice (Licence: SC sc19015) |
Enumeration Date | 2016-05-11 |
Last Update Date | 2016-05-11 |