| NPI | 1487927760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM MARK COXON President 803-370-4294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3419) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 3702) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-02-16 |