Individual
DR. JERALD G YADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
425 BARONY ST, MONCKS CORNER, SC 29461
(843) 899-7933
(843) 899-5796
Mailing address
425 BARONY STREET, MONCKS CORNER, SC 29461
(843) 899-7933
(843) 899-5796
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1432
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH1432
—
SC
Enumeration date
04/05/2006
Last updated
03/11/2024
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