Organization
WEAVER CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY KANE WEAVER DC (DOCTOR/OWNER)
(843) 669-1680
Entity
Organization
Contact information
Practice address
105 WARLEY ST, FLORENCE, SC 29501-4442
(843) 669-1680
(843) 669-0266
Mailing address
105 WARLEY ST, FLORENCE, SC 29501-4442
(843) 669-1680
(843) 669-0266
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2541
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2541
—
SC
01
—
DB3794
MEDICARE RAILRAOD GROUP
SC
Enumeration date
06/03/2008
Last updated
06/03/2008
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