Individual
JENNIFER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
105 FILBERT ST, GAFFNEY, SC 29340-2408
(803) 414-8307
Mailing address
105 FILBERT ST, GAFFNEY, SC 29340-2408
(803) 414-8307
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3428
SC
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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