| NPI | 1801394333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES THOMAS ROGERS Owner 843-655-3460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2024-03-26 |