| NPI | 1679819726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN CORY BROYLES President, Owner, Director 864-313-6094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3789) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2013-01-23 |