Walnut Lane Management Llc

NPI 1679529010 - Chiropractor - 111N00000X

NPI Details
NPI 1679529010
Enumeration Date 05/26/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name NANCY WYLIE NANCY
Position CHIROPRACTOR
Phone (864) 834-8099
Fax (864) 834-8108
Practice Location
148 WALNUT LANE
SUITE I
TRAVELERS REST SC, 29690, US
Phone (864) 834-8099
Fax (864) 834-8108
Business Location
PO BOX 1111
TRAVELERS REST SC, 29690, US
Phone (864) 834-8099
Fax (864) 834-8108
Toxanomy
Taxonomy Code 111N00000X
License State South Carolina
License Number 1637
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According to our database, Walnut Lane Management Llc NPI is 1679529010, taxonomy code is 111N00000X and license number is 1637, license state is located at South Carolina. Walnut Lane Management Llc physically located at 148 Walnut Lane, Travelers Rest SC, 29690. NPI Number 1033115704 has the healthcare provider type.

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1679529010 NPI number is provided on an as is basis without warranty of any kind. 1679529010 is maintained by the National Plan & Provider Enumeration System. The contents of Walnut Lane Management Llc are for informational purposes only.