Organization
COMPLETE HEALING & WELLNESS CENTER P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK D WISE JR. DC (PRESIDENT)
(864) 847-6020
Entity
Organization
Contact information
Practice address
24 EAST MAIN ST, WILLIAMSTON, SC 29697
(864) 847-6020
(864) 847-6007
Mailing address
24 EAST MAIN ST, WILLIAMSTON, SC 29697
(864) 847-6020
(864) 847-6007
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1594
SC
111N00000X
Chiropractor
1743
SC
207Q00000X
Family Medicine Physician
Primary
20856
SC
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208563
—
SC
05
—
CH1594
—
SC
05
—
CH1743
—
SC
Enumeration date
11/13/2006
Last updated
08/21/2019
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