NPI | 1720049687 |
---|---|
Former Legal Business Name | MARK ALAN BENTLEY |
Entity Type | Organization |
Authorized Contact | MARK ALAN BENTLEY President 803-980-7190 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: SC SC2299) |
Enumeration Date | 2006-03-30 |
Last Update Date | 2020-08-22 |