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Organization

WILLIS CHIRO MED OF MB

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT WILLIS DC (OWNER)
(843) 215-2324
Entity
Organization

Contact information

Practice address
1665 GLENNS BAY RD, SURFSIDE BEACH, SC 29575-4836
(843) 215-2324
(843) 215-0541
Mailing address
1665 GLENNS BAY RD, SURFSIDE BEACH, SC 29575-4836
(843) 215-2324
(843) 215-0541

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2486
SC

Other

Enumeration date
06/24/2008
Last updated
06/24/2008
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