Organization
SWALLEY CHIROPRACTIC LLC
Active
Other names
Gonstead Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICAH WADE SWALLEY D.C. (PRESIDENT)
(616) 446-0755
Entity
Organization
Contact information
Practice address
1698 HIGHWAY 160 W, SUITE 140, FORT MILL, SC 29708-8032
(803) 547-9977
(803) 547-9978
Mailing address
1698 HIGHWAY 160 W, SUITE 140, FORT MILL, SC 29708-8032
(803) 547-9977
(803) 547-9978
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3925
SC
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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