NPI | 1407039183 |
---|---|
Entity Type | Organization |
Authorized Contact | JIMMY LEE SMITH President 843-971-8234 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: SC 2653) |
Enumeration Date | 2007-12-17 |
Last Update Date | 2008-04-09 |