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Organization
DR KRISTIE WALLACE DC LLC
Active
Organization
DR KRISTIE WALLACE DC LLC
Active
Other names
Beaufort Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIE WALLACE DC (CHIROPRACTOR)
(843) 522-1115
Entity
Organization
Contact information
Practice address
703 BLADEN ST, BEAUFORT, SC 29902-4915
(843) 522-1115
(843) 522-1119
Mailing address
703 BLADEN ST, BEAUFORT, SC 29902-4915
(843) 522-1115
(843) 522-1119
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3711
SC
Other
Enumeration date
04/14/2011
Last updated
02/15/2012
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