Organization
SHIRLEY CHIROPRACTIC & WELLNESS CENTER, LLC
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK SHIRLEY DC (MEMBER)
(803) 772-7626
Entity
Organization
Contact information
Practice address
612 SAINT ANDREWS RD STE 3, COLUMBIA, SC 29210-5120
(803) 772-7626
Mailing address
612 SAINT ANDREWS RD STE 3, COLUMBIA, SC 29210-5120
(803) 772-7626
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2245
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2245
—
SC
Enumeration date
11/16/2006
Last updated
12/19/2011
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