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Organization
GLAZA CHIROPRACTIC CENTER, INC
Active
Organization
GLAZA CHIROPRACTIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AL GERARD GLAZA DC (CHIROPRACTOR)
(803) 831-2345
Entity
Organization
Contact information
Practice address
548 NAUTICAL DR, SUITE 204, LAKE WYLIE, SC 29710-0016
(803) 831-2345
(803) 831-2007
Mailing address
548 NAUTICAL DR, SUITE 204, LAKE WYLIE, SC 29710-0016
(803) 831-2345
(803) 831-2007
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1193
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GCH293
—
SC
Enumeration date
09/15/2006
Last updated
02/24/2012
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