Organization
THE WELLNESS PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER R MASON (OWNER)
(864) 473-1083
Entity
Organization
Contact information
Practice address
11068 ASHEVILLE HWY, STE. B-17, INMAN, SC 29349-5805
(864) 473-1083
Mailing address
68 GLOBAL DR, SUITE 100, GREENVILLE, SC 29607-4628
(864) 644-2700
(864) 644-2709
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2231
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GCH505
—
SC
Enumeration date
07/09/2006
Last updated
10/29/2010
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