| NPI | 1871894816 |
|---|---|
| Doing Business As | HEALTH SOURCE OF JAMES ISLAND |
| Entity Type | Organization |
| Authorized Contact | LEE DAVID RUSSO Owner 843-225-1236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3605) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2010-11-08 |