| NPI | 1548344740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDSON LANE HELDRETH Owner/President/Doctor 803-749-8522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 2254) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |