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Organization
WISE CHIROPRACTIC AND WELLNESS, LLC
Active
Organization
WISE CHIROPRACTIC AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS ALEXANDER WISE D.C. (DOCTOR)
(864) 585-5558
Entity
Organization
Contact information
Practice address
1400 FERNWOOD GLENDALE RD, SPARTANBURG, SC 29307-3043
(864) 585-5558
(864) 585-9888
Mailing address
1400 FERNWOOD GLENDALE RD, SPARTANBURG, SC 29307-3043
(864) 585-5558
(864) 585-9888
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2549
SC
111NR0400X
Rehabilitation Chiropractor
3484
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2549
—
SC
Enumeration date
08/05/2009
Last updated
08/05/2009
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