# SPINE DOCTORS OF AIKEN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053557843
- **Authorized official:** DR. MAURICE SHEKEIL WALLACE DC (DOCTOR)
- **Authorized official phone:** (803) 226-0061

## Contact information

- **Practice address:** 2645 WHISKEY RD, SUITE 109, AIKEN, SC 29803-8075
- **Practice address phone:** (803) 226-0061
- **Practice address fax:** (803) 226-0077
- **Mailing address:** 2645 WHISKEY RD, SUITE 109, AIKEN, SC 29803-8075
- **Mailing address phone:** (803) 226-0061
- **Mailing address fax:** (803) 226-0077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3402 | SC | Yes |

## Other

- **Enumeration date:** 12/28/2008
- **Last updated:** 12/28/2008