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Organization
FORT MILL CHIROPRACTIC HEALTH CENTER, P.A.
Active
Organization
FORT MILL CHIROPRACTIC HEALTH CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY JAMES VAN DERVORT D.C. (OWNER)
(803) 548-1722
Entity
Organization
Contact information
Practice address
306 TOM HALL ST, FORT MILL, SC 29715-2338
(803) 548-1722
Mailing address
PO BOX 803, FORT MILL, SC 29716-0803
(803) 548-1722
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
891
SC
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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