| NPI | 1720812670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN WAYNE BOWERS Owner/CEO 803-254-4699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2024-08-30 |