Organization
BRACEY CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TROY B MARTIN DC (OWNER)
(803) 254-6730
Entity
Organization
Contact information
Practice address
4122 W BELTLINE BLVD, COLUMBIA, SC 29204-1509
(803) 254-6730
(803) 254-6323
Mailing address
4122 W BELTLINE BLVD, COLUMBIA, SC 29204-1509
(803) 254-6730
(803) 254-6323
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2608
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GCH110
—
SC
Enumeration date
04/30/2007
Last updated
07/17/2007
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