Organization
LAKE MURRAY PAIN AND REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM EDWARD BULL III DC (OWNER)
(803) 345-0334
Entity
Organization
Contact information
Practice address
510 COLUMBIA AVE, CHAPIN, SC 29036-9424
(803) 345-0334
(803) 345-0335
Mailing address
510 COLUMBIA AVE, CHAPIN, SC 29036-9424
(803) 345-0334
(803) 345-0335
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
111N00000X
SC
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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