Organization
MAIN STREET WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN O'TOOLE (DC)
(803) 343-7023
Entity
Organization
Contact information
Practice address
2101 MAIN ST STE B, COLUMBIA, SC 29201-2159
(803) 343-7023
(803) 343-7043
Mailing address
2101 MAIN ST STE B, COLUMBIA, SC 29201-2159
(803) 343-7023
(803) 343-7043
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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