Wallace Chiropractic and Spinal Rehab, LLC
NPI #1013188531 in Lake City, South Carolina
Provider Information
- NPI Number
- 1013188531
- Entity Type
- Organization
- Organization Name
- Wallace Chiropractic and Spinal Rehab, LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Mar 13, 2008
- Last Updated
- Jun 20, 2013
Practice Location
- Address
- 263 KELLEY ST
- Address 2
- SUITE 100
- City
- Lake City
- State
- South Carolina
- ZIP Code
- 29560-2472
- Phone
- (843) 394-8274
Authorized Official
- Name
- CRYSTAL KNIGHT
- Title
- CA
- Phone
- (843) 394-8274
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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