Organization
EASTSIDE CHIROPRACTIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID H MRUZ D.C. (PRESIDENT)
(864) 292-6777
Entity
Organization
Contact information
Practice address
3014 WADE HAMPTON BLVD, TAYLORS, SC 29687-2716
(864) 292-6777
(864) 292-5392
Mailing address
3014 WADE HAMPTON BLVD, TAYLORS, SC 29687-2716
(864) 292-6777
(864) 292-5392
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
832
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GCH458
—
SC
Enumeration date
05/04/2007
Last updated
08/22/2020
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