Organization
TRACEY W SELLERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY WYNNE SELLERS D.C. (PRESIDENT)
(803) 746-7313
Entity
Organization
Contact information
Practice address
111 CLEBOURNE ST, SUITE 120, FORT MILL, SC 29715-1758
(803) 746-7313
(803) 746-7332
Mailing address
111 CLEBOURNE ST, SUITE 120, FORT MILL, SC 29715-1758
(803) 746-7313
(803) 746-7332
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3248
SC
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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