| NPI | 1619543014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON HOPE WILSON Co Owner And Provider 864-243-8158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2021-05-27 |