Organization
WALNUT LANE MANAGEMENT LLC
Active
Other names
St John Family Chiro
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY WYLIE ST JOHN DC (CHIROPRACTOR)
(864) 834-8099
Entity
Organization
Contact information
Practice address
148 WALNUT LANE, SUITE I, TRAVELERS REST, SC 29690
(864) 834-8099
(864) 834-8108
Mailing address
PO BOX 1111, TRAVELERS REST, SC 29690
(864) 834-8099
(864) 834-8108
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1637
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH1637
—
SC
Enumeration date
05/26/2006
Last updated
08/22/2020
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