NPI | 1700962123 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD JESSE HEWETSON President/Owner 803-328-2800 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 978) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2020-08-22 |