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Al Glaza
Chiropractor in Lake Wylie, South Carolina
NPI 1306805916

Al Glaza is a Chiropractor based in Gastonia, SC. Al Glaza practices in Lake Wylie, SC. The NPI Number for Al Glaza is 1306805916 and holds a License No. 1193 (South Carolina).

The current practice location address for Al Glaza is 146 Highway 274, Lake Wylie, SC and can be reached out via phone at 803-831-2345 and via fax at 803-831-2007.

Location: 146 Highway 274, Lake Wylie, SC, 28056-7112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306805916
Provider Name
Al Glaza
Credential
Provider Entity Type
Individual
Gender
Male
Address
146 Highway 274, Lake Wylie, SC, 28056-7112
Phone Number
803-831-2345
Fax Number
803-831-2007
Provider Enumeration Date
03/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GCH293 05 SC
institution
Provider Business Practice Location Address Details
Address
146 Highway 274
City
Lake Wylie
State
South Carolina
Zip
29710-6045
Phone Number
803-831-2345
Fax Number
803-831-2007
person
Provider Business Mailing Address Details
Address
146 Highway 274
City
Lake Wylie
State
South Carolina
Zip
29710-6045
Phone Number
803-831-2345
Fax Number
803-831-2007
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1193 (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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