Organization
WILLIS CHIRO MED OF COLUMBIA, INC.
Active
Other names
WILLIS CHIRO MED
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUELLYN GARD WILLIS (SENIOR OM)
(803) 699-0293
Entity
Organization
Contact information
Practice address
7171 TWO NOTCH RD, COLUMBIA, SC 29223-7501
(803) 699-0293
(803) 699-5087
Mailing address
PO BOX 290096, COLUMBIA, SC 29229-0002
(803) 699-0293
(803) 699-5087
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1078
SC
Other
Enumeration date
03/29/2006
Last updated
08/22/2020
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