Organization
MILES FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ROTHWELL (BILLING COORDINATOR)
(604) 599-1895
Entity
Organization
Contact information
Practice address
794 W. MAIN STREET, RIDGELAND, SC 29936-6317
(843) 645-0888
(843) 645-0889
Mailing address
PO BOX 2034, RIDGELAND, SC 29936-6317
(843) 645-0888
(843) 645-0889
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
SC3376
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH3376
—
SC
Enumeration date
10/29/2009
Last updated
10/29/2009
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