person
Dr. Wallace Harold Privette JR., DC
Chiropractor in Union, South Carolina
NPI 1013002260

Wallace Harold Privette JR. is a Chiropractor based in Union, SC. Wallace Harold Privette JR. practices in Union, SC and has the professional credentials of DC. The NPI Number for Wallace Harold Privette JR. is 1013002260 and holds a License No. 2204 (South Carolina).

The current practice location address for Wallace Harold Privette JR. is 101B Medical Sciences Dr, Union, SC and can be reached out via phone at 864-429-2912 and via fax at 864-429-2912.

Location: 101B Medical Sciences Dr, Union, SC, 29379-8609
person
Provider Profile Details
NPI Number
1013002260
Provider Name
Wallace Harold Privette JR.
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
101B Medical Sciences Dr, Union, SC, 29379-8609
Phone Number
864-429-2912
Fax Number
864-429-2912
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GCH198 05 SC
institution
Provider Business Practice Location Address Details
Address
101B Medical Sciences Dr
City
State
Zip
29379-8609
Phone Number
864-429-2912
Fax Number
864-429-2912
person
Provider Business Mailing Address Details
Address
101B Medical Sciences Dr
City
State
Zip
29379-8609
Phone Number
864-429-2912
Fax Number
864-429-2912
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
2204 (South Carolina)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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