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Organization

ANDERSON SPINE & INJURY CHIROPRACTIC CENTER

Active
Other names
Wickiser Physical Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CLAYTON W WICKISER DC (PRESIDENT)
(864) 226-8688
Entity
Organization

Contact information

Practice address
122 EAST WEST PARKWAY, ANDERSON, SC 29621-1361
(864) 226-8868
(864) 226-8804
Mailing address
122 EAST WEST PARKWAY, ANDERSON, SC 29621-1361
(864) 226-8868
(864) 226-8804

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
207R00000X
Internal Medicine Physician
14773
SC
332B00000X
Durable Medical Equipment & Medical Supplies
SC

Other

Enumeration date
11/12/2013
Last updated
05/09/2022
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