| NPI | 1912537614 |
|---|---|
| Doing Business As | WESTSIDE CHIROPRACTIC & SPORTS MEDICINE, LLC |
| Entity Type | Organization |
| Authorized Contact | JEREMY A BOWMAN Owner/Chiropractor 864-574-4862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |