Back To Essential Health And Wellness Center, Llc

NPI 1043523962 - Chiropractor - 111N00000X

NPI Details
NPI 1043523962
Enumeration Date 07/20/2010
Last Updated 07/20/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name WILLSHONDA CLAIRE WILLSHONDA
Position CLINIC DIRECTOR
Phone (803) 708-9674
Fax (803) 708-8964
Practice Location
1713 TAYLOR ST
SUITE C
COLUMBIA SC, 29201-3400, US
Phone (803) 708-9674
Fax (803) 708-8964
Business Location
PO BOX 23885
COLUMBIA SC, 29224-3885, US
Phone (803) 708-9674
Fax (803) 708-8964
Toxanomy
Taxonomy Code 111N00000X
License State South Carolina
License Number 3556
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According to our database, Back To Essential Health And Wellness Center, Llc NPI is 1043523962, taxonomy code is 111N00000X and license number is 3556, license state is located at South Carolina. Back To Essential Health And Wellness Center, Llc physically located at 1713 Taylor St, Columbia SC, 29201-3400. NPI Number 1033115704 has the healthcare provider type.

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1043523962 NPI number is provided on an as is basis without warranty of any kind. 1043523962 is maintained by the National Plan & Provider Enumeration System. The contents of Back To Essential Health And Wellness Center, Llc are for informational purposes only.