Individual
JEREMY B WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6 MILL ST, INMAN, SC 29349-1555
(864) 473-2225
Mailing address
68 GLOBAL DR, SUITE 100, GREENVILLE, SC 29607-4628
(864) 644-2700
(864) 644-2709
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3362
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3362
DC LICENSE #
SC
Enumeration date
07/10/2008
Last updated
10/28/2010
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