Individual
JOSEPH RAY WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1501 HERITAGE LN, FLORENCE, SC 29505-3141
(843) 665-6777
(843) 665-6677
Mailing address
3124 RUTLEDGE MANOR DR, FLORENCE, SC 29501-8053
(843) 665-6777
(843) 665-6677
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3487
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3487
SC LISC
SC
Enumeration date
08/20/2009
Last updated
12/06/2016
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