Organization
PFC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALLACE HAROLD PRIVETTE JR. DC (CEO)
(864) 680-6802
Entity
Organization
Contact information
Practice address
101B MEDICAL SCIENCES DR, UNION, SC 29379-8609
(864) 429-2912
(866) 294-2912
Mailing address
30 N. GOULD ST, SUITE 7673, SHERIDAN, WY 82801
(307) 763-5145
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2201
SC
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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