Organization
HOLISTIC CARE OF CHARLESTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE HOWARD GWINNUP D.C. (PRESIDENT)
(843) 795-9333
Entity
Organization
Contact information
Practice address
354 FOLLY RD, SUITE 1, CHARLESTON, SC 29412-2594
(843) 795-9333
(866) 610-1495
Mailing address
354 FOLLY RD, SUITE 1, CHARLESTON, SC 29412-2594
(843) 795-9333
(866) 610-1495
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
2144
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U675310281
MEDICARE PTAN
SC
Enumeration date
06/29/2012
Last updated
06/29/2012
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