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Organization
WIEDRICH LLC
Active
Organization
WIEDRICH LLC
Active
Other names
HealthSource of James Island
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORI MICHELLE WIEDRICH D.C. (OWNER)
(843) 906-7232
Entity
Organization
Contact information
Practice address
1175 FOLLY RD, SUITE E, CHARLESTON, SC 29412-4130
(843) 225-1236
(843) 225-1237
Mailing address
1175 FOLLY RD, SUITE E, CHARLESTON, SC 29412-4130
(843) 225-1236
(843) 225-1237
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3324
SC
Other
Enumeration date
04/15/2008
Last updated
10/14/2008
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