Individual
DR. MATT R WURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1350 CHUCK DAWLEY BLVD, LEASANT, MT PLEASANT, SC 29464-3380
(843) 884-3506
(843) 856-0912
Mailing address
PO BOX 36, MT PLEASANT, SC 29465-0036
(843) 884-3506
(843) 856-0912
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2276
SC
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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