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Individual

MRS. MARYLOUISE SCHULTZ WISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
24 EAST MAIN ST, WILLIAMSTON, SC 29697
(864) 847-6020
(864) 847-6007
Mailing address
24 EAST MAIN ST, WILLIAMSTON, SC 29697
(864) 847-6020
(864) 847-6007

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1594
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CH1594
SC
Enumeration date
11/13/2006
Last updated
05/01/2019
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