NPI | 1487926739 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM MANLY YOUNGBLOOD President/Owner 843-225-5855 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 2039) |
Enumeration Date | 2012-02-02 |
Last Update Date | 2012-02-02 |