Organization
CAROLINA WELLNESS AND HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP RUSSELL JORDAN D.C. (DOCTOR/OWNER)
(803) 226-0217
Entity
Organization
Contact information
Practice address
1310 PINE LOG RD, SUITE B, AIKEN, SC 29803-7890
(803) 226-0217
(803) 226-0459
Mailing address
1310 PINE LOG RD, SUITE B, AIKEN, SC 29803-7890
(803) 226-0217
(803) 226-0459
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3663
SC
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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