NPI | 1730523697 |
---|---|
Entity Type | Organization |
Authorized Contact | GREEN B NEAL Medical Director 803-786-0559 |
Organization Subpart ? | No |
Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: PA 533818) |
Enumeration Date | 2013-04-23 |
Last Update Date | 2013-04-23 |