| NPI | 1932316130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L COON Owner 843-795-3056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2010-01-12 |