| NPI | 1891058806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON BRENT FARMER Managing Member 803-741-4234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH 10690) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |