| NPI | 1720519929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK DWYER SCOTT Chiropractor/Owner 843-274-4125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-04-18 |