| NPI | 1891059200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE HOWARD GWINNUP President 843-795-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0900X Chiropractor Internist (Licence: SC 2144) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2012-06-29 |