| NPI | 1679611578 |
|---|---|
| Former Legal Business Name | COOPER SPINE CENTER, P.A. |
| Entity Type | Organization |
| Authorized Contact | GREGORY S COOPER President 843-821-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 909) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2009-07-08 |