Individual
KIMBERLY BROOKE WHEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
811 SAINT ANDREWS BLVD, SUITE A, CHARLESTON, SC 29407-7187
(843) 225-5855
Mailing address
811 SAINT ANDREWS BLVD, SUITE A, CHARLESTON, SC 29407-7187
(843) 225-5855
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3710
SC
Other
Enumeration date
05/09/2011
Last updated
02/23/2012
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