Organization
CONWAY CHIROPRACTIC CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAYLORD LEE KELLEY JR. DC (CHIROPRACTOR)
(843) 248-5814
Entity
Organization
Contact information
Practice address
1238 PINE ST, CONWAY, SC 29526-3402
(843) 248-5814
(843) 248-0116
Mailing address
1238 PINE ST, CONWAY, SC 29526-3402
(843) 248-5814
(843) 248-0116
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1407
SC
Other
Enumeration date
05/04/2006
Last updated
06/12/2012
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