NPI | 1972756187 |
---|---|
Entity Type | Organization |
Authorized Contact | HERBERT A BLASSENGALE Owner/Operator 864-232-5488 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 1782) |
Enumeration Date | 2008-10-31 |
Last Update Date | 2014-07-17 |