Organization
PHILLY SPINE CENTER INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL WINFIELD HOLLOWAY D.C. (CHIROPRACTOR)
(404) 428-6012
Entity
Organization
Contact information
Practice address
3101 COTTMAN AVE, PHILADELPHIA, PA 19149-1502
(215) 624-6100
Mailing address
11 MULBERRY LN, PLYMOUTH MEETING, PA 19462-2438
(404) 428-6012
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC010122
PA
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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