| NPI | 1790825115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENTON C. ATKINS Owner 843-513-3052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: SC 2904) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |