Organization
CHELLIS CHIROPRACTIC, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA L CHELLIS D.C. (CHIROPRACTOR/OWNER)
(843) 871-7775
Entity
Organization
Contact information
Practice address
405 N MAGNOLIA ST, SUMMERVILLE, SC 29483-6841
(843) 871-7775
(843) 871-7375
Mailing address
405 N MAGNOLIA ST, SUMMERVILLE, SC 29483-6841
(843) 871-7775
(843) 871-7375
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3431
SC
Other
Enumeration date
05/23/2012
Last updated
07/09/2012
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