Individual
DR. DALE L.J. NODRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
200 S 3RD AVE, DILLON, SC 29536-3318
(843) 487-5123
(843) 487-5121
Mailing address
200 S 3RD AVE, DILLON, SC 29536-3318
(843) 487-5123
(843) 487-5121
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2235
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2235
—
SC
05
—
GCH259
—
SC
Enumeration date
12/04/2006
Last updated
03/13/2017
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