| NPI | 1548270507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN BENEDICT Insurance Department 803-252-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2013-01-14 |