| NPI | 1508034406 |
|---|---|
| Doing Business As | EDISTO/ALLENDALE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | MARK JOHNSON Manager 803-534-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 1640) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: SC 1640) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: SC 1640) | |
| 207Q00000X Family Medicine | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 111NR0400X Chiropractor, Rehabilitation (Licence: SC 1640) | |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |