Organization
BACK TO YOU CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAYLE N HEYER DC (CHIROPRACTOR/OWNER)
(803) 386-3912
Entity
Organization
Contact information
Practice address
2315 WILLOW OAK DR, COLUMBIA, SC 29223-8608
(803) 386-3912
(803) 403-8216
Mailing address
PO BOX 55, STATE PARK, SC 29147-0055
(803) 386-3912
(803) 403-8216
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
20144213741285
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH3225
—
SC
Enumeration date
03/24/2014
Last updated
03/24/2014
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