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Organization
LAKE MURRAY PAIN AND REHAB, LLC
Active
Organization
LAKE MURRAY PAIN AND REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM EDWARD BULL III DC (OWNER)
(803) 345-0334
Entity
Organization
Contact information
Practice address
510 COLUMBIA AVE, CHAPIN, SC 29036-9424
(803) 345-0334
(803) 345-0335
Mailing address
510 COLUMBIA AVE, CHAPIN, SC 29036-9424
(803) 345-0334
(803) 345-0335
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
111N00000X
SC
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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