NPI | 1518238203 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL G WENNER Owner 843-662-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2012-01-26 |
Last Update Date | 2021-08-10 |