Provider Demographics
NPI:1700426061
Name:MORRIS INTEGRATIVE CHIROPRACTIC & WELLNESS LLP
Entity Type:Organization
Organization Name:MORRIS INTEGRATIVE CHIROPRACTIC & WELLNESS LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:843-773-1633
Mailing Address - Street 1:1604 BELLEVUE DRIVE
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501
Mailing Address - Country:US
Mailing Address - Phone:843-773-1633
Mailing Address - Fax:888-843-8310
Practice Address - Street 1:11022 TALL TIMBERS RD SW
Practice Address - Street 2:
Practice Address - City:GARFIELD
Practice Address - State:MN
Practice Address - Zip Code:56332-8235
Practice Address - Country:US
Practice Address - Phone:843-773-1633
Practice Address - Fax:888-843-8310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-14
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty