NPI | 1588073233 |
---|---|
Entity Type | Organization |
Authorized Contact | LEWIS RANDAL HINSON Owner 803-553-3368 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: SC 1581) |
Enumeration Date | 2014-08-07 |
Last Update Date | 2014-10-15 |