Organization
BIOSPINE HEALTH AND WELNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHUCKY SENTELL JORDAN DC (OWNER)
(843) 940-0687
Entity
Organization
Contact information
Practice address
542 BEN GAUSE RD, COWARD, SC 29530-5127
(843) 940-0687
Mailing address
542 BEN GAUSE RD, COWARD, SC 29530-5127
(843) 940-0687
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
SC 4099
SC
Other
Enumeration date
07/03/2016
Last updated
07/03/2016
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