Organization
PWIC OF BENNETTSVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA EDWARDS (MANAGER)
(843) 431-9352
Entity
Organization
Contact information
Practice address
101 NORTHWOOD DR, BENNETTSVILLE, SC 29512-2476
(843) 479-6102
(843) 479-6104
Mailing address
PO BOX 1066, MARION, SC 29571-1066
(843) 431-9352
(843) 431-9901
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2668
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2668
—
SC
Enumeration date
06/01/2006
Last updated
08/22/2020
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