Organization
HEALTHSOURCE OF WEST COLUMBIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG SCHMITZ JR. (CREDENTIALING SUPERVISOR)
(440) 653-5973
Entity
Organization
Contact information
Practice address
2427 FISH HATCHERY RD, WEST COLUMBIA, SC 29172-2093
(803) 939-0785
Mailing address
2427 FISH HATCHERY RD, WEST COLUMBIA, SC 29172-2093
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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