Individual
DR. NATASHA MARILYN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1296 BROUGHTON ST, ORANGEBURG, SC 29115-5963
(803) 534-2133
Mailing address
1296 BROUGHTON ST, ORANGEBURG, SC 29115-5963
(803) 534-2133
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH2913
SC
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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