Organization
BENNETT CHIROPRACTIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRELL MITCHELL DAVIS DOCTOR OF CHIROPRACT (DOCTOR/OWNER OF BUSINESS)
(864) 984-6731
Entity
Organization
Contact information
Practice address
501 S HARPER ST, LAURENS, SC 29360-2802
(864) 984-6731
(864) 983-1278
Mailing address
501 S HARPER ST, P O BOX 218, LAURENS, SC 29360-2802
(864) 984-6731
(864) 983-1278
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2070
—
SC
Enumeration date
09/09/2008
Last updated
06/23/2009
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