NPI | 1487067666 |
---|---|
Doing Business As | RESTORE CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | IVORY THIGPEN Owner 803-699-8171 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3053) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 3250) |
Enumeration Date | 2014-06-05 |
Last Update Date | 2015-01-08 |