Wallace Chiropractic And Spinal Rehab, Llc

NPI 1013188531 - Chiropractor - 111N00000X

NPI Details
NPI 1013188531
Enumeration Date 03/13/2008
Last Updated 06/20/2013
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name CRYSTAL CRYSTAL
Position CA
Phone (843) 394-8274
Fax (843) 394-1604
Practice Location
263 KELLEY ST
SUITE 100
LAKE CITY SC, 29560-2472, US
Phone (843) 394-8274
Fax (843) 394-1604
Business Location
263 KELLEY ST STE 100
LAKE CITY SC, 29560-2472, US
Phone (843) 394-8274
Fax (843) 394-1604
Toxanomy
Taxonomy Code 111N00000X
License State South Carolina
License Number 1873
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According to our database, Wallace Chiropractic And Spinal Rehab, Llc NPI is 1013188531, taxonomy code is 111N00000X and license number is 1873, license state is located at South Carolina. Wallace Chiropractic And Spinal Rehab, Llc physically located at 263 Kelley St, Lake City SC, 29560-2472. NPI Number 1033115704 has the healthcare provider type.

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1013188531 NPI number is provided on an as is basis without warranty of any kind. 1013188531 is maintained by the National Plan & Provider Enumeration System. The contents of Wallace Chiropractic And Spinal Rehab, Llc are for informational purposes only.