| NPI | 1811267925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN FLETCHER COOKE Owner 843-501-3851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3625) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 007286) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2016-07-25 |