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Organization
SPINE DOCTORS OF AIKEN LLC
Active
Organization
SPINE DOCTORS OF AIKEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURICE SHEKEIL WALLACE DC (DOCTOR)
(803) 226-0061
Entity
Organization
Contact information
Practice address
2645 WHISKEY RD, SUITE 109, AIKEN, SC 29803-8075
(803) 226-0061
(803) 226-0077
Mailing address
2645 WHISKEY RD, SUITE 109, AIKEN, SC 29803-8075
(803) 226-0061
(803) 226-0077
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3402
SC
Other
Enumeration date
12/28/2008
Last updated
12/28/2008
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