| 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 |