NPI 1619040490 · live from the CMS NPI Registry
Accident Injury Chiro
Chiropractor in Holly Hill, SC. National Provider Identifier 1619040490, active.
NPI record
| NPI | 1619040490 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 1120 State St, Holly Hill, SC 29059 |
| Practice phone | 803-496-3338 |
| Mailing address | Po Box 1487, Holly Hill, SC 29059 |
| Enumerated | November 17, 2006 |
| Last updated | April 22, 2008 |
| Authorized official | Charles Wapner Ch, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 803 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.