| NPI | 1932330107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS ALEXANDER WISE Doctor 864-585-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 2549) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: SC 3484) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-08-05 |