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Organization
WILLIS CHIRO MED OF COLUMBIA, INC.
Active
Organization
WILLIS CHIRO MED OF COLUMBIA, INC.
Active
Other names
WILLIS CHIRO MED
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUELLYN GARD WILLIS (SENIOR OM)
(803) 699-0293
Entity
Organization
Contact information
Practice address
7171 TWO NOTCH RD, COLUMBIA, SC 29223-7501
(803) 699-0293
(803) 699-5087
Mailing address
PO BOX 290096, COLUMBIA, SC 29229-0002
(803) 699-0293
(803) 699-5087
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1078
SC
Other
Enumeration date
03/29/2006
Last updated
08/22/2020
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