Organization
ISLAND BREEZE CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN WALTER THOMPSON DC (OWNER)
(843) 314-3474
Entity
Organization
Contact information
Practice address
17C PROFESSIONAL LN, PAWLEYS ISLAND, SC 29585-7988
(843) 314-3474
(843) 314-3475
Mailing address
17C PROFESSIONAL LN, PO BOX 1590, PAWLEYS ISLAND, SC 29585-7988
(843) 314-3474
(843) 314-3475
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2786
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH 2786
—
SC
Enumeration date
11/16/2007
Last updated
04/16/2013
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