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Organization
LAKELANDS HOLDING, LLC
Active
Organization
LAKELANDS HOLDING, LLC
Active
Other names
Lakelands Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES H WESTON JR. DC (PRESIDENT)
(864) 223-2663
Entity
Organization
Contact information
Practice address
712B MONTAGUE AVE, GREENWOOD, SC 29649-1439
(864) 223-2663
Mailing address
712B MONTAGUE AVE, GREENWOOD, SC 29649-1439
(864) 223-2663
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1337
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CS 1337
—
SC
Enumeration date
06/30/2009
Last updated
09/10/2009
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