| NPI | 1649463159 |
|---|---|
| Other Name | GARY S WEAVER DC |
| Entity Type | Organization |
| Authorized Contact | GARY S WEAVER Owner Doctor 803-736-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 1037) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: SC 1037) |
| 111NX0800X Chiropractor, Orthopedic (Licence: SC 1037) | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-12-12 |