Organization
BACK TO ESSENTIAL HEALTH AND WELLNESS CENTER, LLC
Active
Other names
Back To Essentials, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLSHONDA CLAIRE WAGES DC (CLINIC DIRECTOR)
(803) 206-8348
Entity
Organization
Contact information
Practice address
1713 TAYLOR ST, SUITE C, COLUMBIA, SC 29201-3400
(803) 708-9674
(803) 708-8964
Mailing address
PO BOX 23885, COLUMBIA, SC 29224-3885
(803) 708-9674
(803) 708-8964
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3556
SC
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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