| NPI | 1801926290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON M SHAPIRO CEO 843-342-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 2805) |
| Additional Taxonomies | 208D00000X General Practice (Licence: SC 5093) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |