Organization
ADVANTAGE CHIROPRACTIC WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH A GOSNELL DC (SOLE MEMBER)
(864) 624-9355
Entity
Organization
Contact information
Practice address
120 STRODE CIR, CLEMSON, SC 29631-1484
(864) 624-9355
(864) 624-9356
Mailing address
PO BOX 1007, CLEMSON, SC 29633-1007
(864) 624-9355
(864) 624-9356
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
SC2047
SC
Other
Enumeration date
04/18/2012
Last updated
04/19/2012
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