Organization
CHERRYDALE FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY WILSON (DOCTOR)
(262) 206-0673
Entity
Organization
Contact information
Practice address
3223A N PLEASANTBURG DR, GREENVILLE, SC 29609-2900
(262) 206-0673
Mailing address
3223A N PLEASANTBURG DR, GREENVILLE, SC 29609-2900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3590
SC
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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