Organization
WISE CHIROPRACTIC AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS ALEXANDER WISE D.C. (DOCTOR)
(864) 585-5558
Entity
Organization
Contact information
Practice address
1400 FERNWOOD GLENDALE RD, SPARTANBURG, SC 29307-3043
(864) 585-5558
(864) 585-9888
Mailing address
1400 FERNWOOD GLENDALE RD, SPARTANBURG, SC 29307-3043
(864) 585-5558
(864) 585-9888
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2549
SC
111NR0400X
Rehabilitation Chiropractor
3484
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2549
—
SC
Enumeration date
08/05/2009
Last updated
08/05/2009
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