Organization
ZIMCORE, LLC
Active
Other names
LMPR Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WENDY V REEVES (OWNER)
(803) 271-4318
Entity
Organization
Contact information
Practice address
800 COLUMBIANA DR STE 100, GOLD'S GYM COMPLEX - IRMO, IRMO, SC 29063-7782
(803) 271-4318
Mailing address
800 COLUMBIANA DR STE 100, GOLD'S GYM COMPLEX - IRMO, IRMO, SC 29063-7782
(803) 271-4318
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
25569823-0
SC
208D00000X
General Practice Physician
Primary
25569823-0
SC
Other
Enumeration date
05/11/2012
Last updated
12/12/2012
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