| NPI | 1861208357 |
|---|---|
| Doing Business As | FAMILY PRACTICE OF CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | JACKSON TIMOTHY HENNING Owner 803-932-9399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2024-12-09 |