Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 0008050 | CO |
Y | 111N00000X | Chiropractor | 4455 | SC |
NPI | 1003468372 |
---|---|
Provider Name | Dr. Adedoyin O Salami I |
First Address | Rock Hill, SC 29732-3805 |
Second Address | Rock Hill, SC 29732-3805 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2019 |
Last Update Date | 16/07/2019 |