Organization
PALMETTO WELLNESS & INJURY CENTER OF BENNETTSVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND H STROUP D.C. (PRESIDENT)
(843) 479-6102
Entity
Organization
Contact information
Practice address
102 LINDSAY AVE, BENNETTSVILLE, SC 29512-3102
(843) 479-6102
(843) 479-6103
Mailing address
102 LINDSAY AVE, PO BOX 432, BENNETTSVILLE, SC 29512-3102
(843) 479-6102
(843) 479-6103
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2688
SC
207Q00000X
Family Medicine Physician
Primary
23493
SC
207Q00000X
Family Medicine Physician
29388
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2668
—
SC
Enumeration date
05/02/2007
Last updated
03/08/2022
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