NPI | 1407569049 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS STETSON Owner 803-995-9193 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner |
Enumeration Date | 2022-12-28 |
Last Update Date | 2023-03-01 |