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Organization
BROYLES CHIROPRACTIC AND SPORTS MEDICINE PA
Active
Organization
BROYLES CHIROPRACTIC AND SPORTS MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN CORY BROYLES D.C. (PRESIDENT, OWNER, DIRECTOR)
(864) 313-6094
Entity
Organization
Contact information
Practice address
9945 CHARLOTTE HWY, FORT MILL, SC 29707-7134
(803) 082-8601
(803) 802-7969
Mailing address
9945 CHARLOTTE HWY, FORT MILL, SC 29707-7134
(803) 802-8601
(803) 802-7969
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3789
SC
Other
Enumeration date
12/18/2012
Last updated
01/23/2013
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