# WILLIS CHIRO MED OF FLORENCE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962779769
- **Authorized official:** DR. JOSEPH RAY WILLIS D.C. (OWNER)
- **Authorized official phone:** (843) 665-6777

## Contact information

- **Practice address:** 1501 HERITAGE LN, FLORENCE, SC 29505-3141
- **Practice address phone:** (843) 665-6777
- **Practice address fax:** (843) 665-6677
- **Mailing address:** 1501 HERITAGE LN, FLORENCE, SC 29505-3141
- **Mailing address phone:** (843) 665-6777
- **Mailing address fax:** (843) 665-6677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 3487 | SC | Yes |

## Other

- **Enumeration date:** 11/22/2011
- **Last updated:** 11/22/2011