Organization
WILLIS CHIRO MED OF MB
Active
Other names
WILLIS CHIROMED
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES T ROGERS JR. D.C. (PRESIDENT)
(843) 215-2324
Entity
Organization
Contact information
Practice address
1665 GLENNS BAY RD, SURFSIDE BEACH, SC 29575-4836
(843) 215-2324
(843) 215-0541
Mailing address
1665 GLENNS BAY RD, SURFSIDE BEACH, SC 29575-4836
(843) 215-2324
(843) 215-0541
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2486
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2486
—
SC
Enumeration date
12/12/2006
Last updated
05/30/2008
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