Organization
BROYLES CHIROPRACTIC AND SPORTS MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN CORY BROYLES D.C. (PRESIDENT, OWNER, DIRECTOR)
(864) 313-6094
Entity
Organization
Contact information
Practice address
9945 CHARLOTTE HWY, FORT MILL, SC 29707-7134
(803) 082-8601
(803) 802-7969
Mailing address
9945 CHARLOTTE HWY, FORT MILL, SC 29707-7134
(803) 802-8601
(803) 802-7969
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3789
SC
Other
Enumeration date
12/18/2012
Last updated
01/23/2013
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