| NPI | 1437346715 |
|---|---|
| Doing Business As | WILLIS CHIROMED |
| Entity Type | Organization |
| Authorized Contact | GLENN RUSSELL STENGEL Doctor/Owner 843-248-7040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 2009) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2008-06-24 |