Organization
BACK IN MOTION CLINIC OF CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES GEORGE GOLDIZEN II D.C. (PRESIDENT)
(864) 601-9012
Entity
Organization
Contact information
Practice address
703 FAIRVIEW ST, FOUNTAIN INN, SC 29644-1541
(864) 601-9012
Mailing address
PO BOX 1511, FOUNTAIN INN, SC 29644-1058
(864) 601-9012
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
3498
SC
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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