# PALMETTO CHIROPRACTIC, IRMO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548344740
- **Authorized official:** DR. JUDSON LANE HELDRETH D.C (OWNER/PRESIDENT/DOCTOR)
- **Authorized official phone:** (803) 749-8522

## Contact information

- **Practice address:** 800 COLUMBIANA DR, IRMO, SC 29063-8527
- **Practice address phone:** (803) 749-8522
- **Mailing address:** 800 COLUMBIANA DRIVE, IRMO, SC 29063
- **Mailing address phone:** (803) 749-8522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2254 | IA | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1255309068 | PERSONAL NPI NUMBER | SC |