| 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 |