Organization
ACCIDENT INJURY CHIRO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WAPNER CH (PRESIDENT)
(803) 496-3338
Entity
Organization
Contact information
Practice address
1120 STATE ST, HOLLY HILL, SC 29059-2611
(803) 496-3338
Mailing address
PO BOX 1487, HOLLY HILL, SC 29059-1487
(803) 496-3338
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
803
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GCH182
—
SC
Enumeration date
11/17/2006
Last updated
04/22/2008
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