Organization
JFB ENTERPRISES, LLC
Active
Other names
Willis Chiro Med
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN F BRYAN JR. D.C. (OWNER)
(843) 332-6191
Entity
Organization
Contact information
Practice address
331 S FOURTH ST, HARTSVILLE, SC 29550-4307
(843) 332-6191
(843) 332-4408
Mailing address
331 S FOURTH ST, HARTSVILLE, SC 29550-4307
(843) 332-6191
(843) 332-4408
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2622
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2622
—
SC
Enumeration date
03/12/2007
Last updated
01/09/2008
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