# MILES FAMILY CHIROPRACTIC

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

## Provider details

- **NPI number:** 1134455983
- **Authorized official:** PAUL ROTHWELL (BILLING COORDINATOR)
- **Authorized official phone:** (604) 599-1895

## Contact information

- **Practice address:** 794 W. MAIN STREET, RIDGELAND, SC 29936-6317
- **Practice address phone:** (843) 645-0888
- **Practice address fax:** (843) 645-0889
- **Mailing address:** PO BOX 2034, RIDGELAND, SC 29936-6317
- **Mailing address phone:** (843) 645-0888
- **Mailing address fax:** (843) 645-0889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | SC3376 | SC | Yes |

## Other

- **Enumeration date:** 10/29/2009
- **Last updated:** 10/29/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | CH3376 | — | SC |