Accident Injury Chiro

Organization Active NPI Chiropractor · Holly Hill, SC

NPI 1619040490 · NPPES record last updated Apr 22, 2008

Key facts

NPI
1619040490
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
803 (SC)
Legal business name
ACCIDENT INJURY CHIRO
Practice address
1120 State St
Holly Hill, SC 29059-2611
Phone
(803) 496-3338
NPI assigned
Nov 17, 2006
Organization subpart
No

Authorized official

Name
Charles Wapner CH
Title
President
Phone
(803) 496-3338

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X 803 SC Yes

Addresses

Primary practice location

1120 State St
Holly Hill, SC 29059-2611

Mailing address

PO Box 1487
Holly Hill, SC 29059-1487
Phone (803) 496-3338

Other identifiers

IdentifierTypeStateIssuer
GCH182MedicaidSC

Other providers in Holly Hill, SC

All providers in Holly Hill, SC · Chiropractor in South Carolina

Sources for this page

Verify at the official NPI Registry.