Organization
STENGEL CHIROPRACTIC, INC.
Active
Other names
Willis ChiroMed
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN RUSSELL STENGEL D.C. (DOCTOR/OWNER)
(843) 248-7040
Entity
Organization
Contact information
Practice address
1521 MAIN ST, CONWAY, SC 29526-3570
(843) 248-7040
(843) 248-7538
Mailing address
1521 MAIN ST, CONWAY, SC 29526-3570
(843) 248-7040
(843) 248-7538
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2009
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2009
—
SC
Enumeration date
10/01/2007
Last updated
06/24/2008
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