Individual
DR. TONY WAYNE VANDERPOOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1965 RIVIERA DR, SUITE 3, MT PLEASANT, SC 29464-7469
(843) 884-7100
(843) 884-7340
Mailing address
1965 RIVIERA DR, SUITE 3, MT PLEASANT, SC 29464-7469
(843) 884-7100
(843) 884-7340
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
SC2149
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2149
—
SC
Enumeration date
05/05/2006
Last updated
08/30/2011
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