| NPI | 1720308406 |
|---|---|
| Doing Business As | BODYLOGICMD OF GREENVILLE |
| Entity Type | Organization |
| Authorized Contact | KENNETH ORBECK Director 877-749-8832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: SC 513) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2011-07-26 |