Individual
WILLIAM ALLEN WENTWORTH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
225 HALTON ROAD SUITE A, GREENVILLE, SC 29607
(864) 286-0660
(864) 286-0616
Mailing address
225 HALTON ROAD SUITE A, GREENVILLE, SC 29607
(864) 286-0660
(864) 286-0616
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2218
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2218
STATE SC LICENSE
SC
01
—
25820
CALIFORNIA LICENSE
SC
01
—
CH7257
FLORIDA LICENSE
FL
Enumeration date
05/09/2007
Last updated
07/09/2007
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