Organization
SKYLYN WELLNESS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN V DAWIDOWICZ DC (PRESIDENT)
(864) 583-8308
Entity
Organization
Contact information
Practice address
1770 SKYLYN DR, SPARTANBURG, SC 29307-1045
(864) 583-8308
(864) 583-8358
Mailing address
PO BOX 173, DRAYTON, SC 29333-0173
(864) 583-8308
(864) 583-8358
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2495
SC
207Q00000X
Family Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
14638
SC
367500000X
Certified Registered Nurse Anesthetist
3647
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GCH324
—
SC
Enumeration date
09/16/2006
Last updated
08/02/2022
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