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Organization
CAROLINA SPINE AND SPORT
Active
Organization
CAROLINA SPINE AND SPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEV'N MORAN DC (DOCTOR)
(918) 728-0201
Entity
Organization
Contact information
Practice address
946 ORLEANS RD UNIT B10, CHARLESTON, SC 29407-4839
(918) 728-0201
Mailing address
1871 ASHLEY RIVER RD APT 4311, CHARLESTON, SC 29407-8724
(918) 728-0201
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
NULL
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Enumeration date
08/03/2019
Last updated
08/03/2019
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