Individual
JED RILEY ELLENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
221 S PENDLETON ST # 221, EASLEY, SC 29640-3047
(864) 442-5769
Mailing address
221 S PENDLETON ST # 221, EASLEY, SC 29640-3047
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4838
SC
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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