Organization
ADVANCED CHIROPRACTIC OF SOUTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ALLEN WENTWORTH (PRESIDENT)
(864) 286-0660
Entity
Organization
Contact information
Practice address
225 HALTON RD STE A, GREENVILLE, SC 29607-3499
(864) 286-0660
Mailing address
225 HALTON RD STE A, GREENVILLE, SC 29607-3499
(864) 286-0660
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2218
SC
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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