Wallace Chiropractic And Spinal Rehab, LLC is a healthcare organization in the LAKE CITY area. Wallace Chiropractic And Spinal Rehab, LLC primary office location is at 263 KELLEY ST and new patients are welcome to contact this healthcare organization for an appointment. The NPI number is 1013188531 and the information was updated approximately 13 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: Unknown
Participates in PECOS: NO
| License Number | State |
|---|---|
| 1873 | SC |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | GCH113 | SC |
| Taxonomy | State | Primary? |
|---|---|---|
| Chiropractor - Taxonomy Code 111N00000X | SC | Y |
| Single Specialty Group - Taxonomy Code 193400000X | SC | N |