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Organization
WALNUT LANE MANAGEMENT LLC
Active
Organization
WALNUT LANE MANAGEMENT LLC
Active
Other names
St John Family Chiro
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY WYLIE ST JOHN DC (CHIROPRACTOR)
(864) 834-8099
Entity
Organization
Contact information
Practice address
148 WALNUT LANE, SUITE I, TRAVELERS REST, SC 29690
(864) 834-8099
(864) 834-8108
Mailing address
PO BOX 1111, TRAVELERS REST, SC 29690
(864) 834-8099
(864) 834-8108
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1637
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH1637
—
SC
Enumeration date
05/26/2006
Last updated
08/22/2020
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