Individual
JEREMY R WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3223A N PLEASANTBURG DR, GREENVILLE, SC 29609-2900
(864) 558-8174
(864) 558-8176
Mailing address
3223A N PLEASANTBURG DR, GREENVILLE, SC 29609-2900
(864) 558-8174
(864) 558-8176
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3590
SC
Other
Enumeration date
10/19/2010
Last updated
12/08/2010
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