Individual
DR. GLENN RUSSELL STENGEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1521 MAIN ST, CONWAY, SC 29526-5001
(843) 248-7040
(843) 248-7538
Mailing address
1521 MAIN ST, CONWAY, SC 29526-5001
(843) 248-7040
(843) 248-7538
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2009
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GCH226
—
SC
Enumeration date
06/10/2006
Last updated
07/08/2007
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