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Wallace Chiropractic And Spinal Rehab, Llc
Chiropractor in Lake City, South Carolina
NPI 1013188531

Wallace Chiropractic And Spinal Rehab, Llc is a Chiropractor based in Lake City, SC. Wallace Chiropractic And Spinal Rehab, Llc practices in Lake City, SC. The NPI Number for Wallace Chiropractic And Spinal Rehab, Llc is 1013188531 and holds a License No. 1873 (South Carolina).

The current practice location address for Wallace Chiropractic And Spinal Rehab, Llc is 263 Kelley St, Lake City, SC and can be reached out via phone at 843-394-8274 and via fax at 843-394-1604.

Location: 263 Kelley St, Lake City, SC, 29560-2472
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013188531
Provider Name
Wallace Chiropractic And Spinal Rehab, Llc
Credential
Provider Entity Type
Organization
Address
263 Kelley St, Lake City, SC, 29560-2472
Phone Number
843-394-8274
Fax Number
843-394-1604
Provider Enumeration Date
03/13/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GCH113 05 SC
institution
Provider Business Practice Location Address Details
Address
263 Kelley St
City
Lake City
State
South Carolina
Zip
29560-2472
Phone Number
843-394-8274
Fax Number
843-394-1604
person
Provider Business Mailing Address Details
Address
263 Kelley St
City
Lake City
State
South Carolina
Zip
29560-2472
Phone Number
843-394-8274
Fax Number
843-394-1604
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1873 (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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