Organization
DAIL CHIROPRACTIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY EUGENE DAIL JR. DC (PRESIDENT)
(803) 772-8680
Entity
Organization
Contact information
Practice address
1655 BROAD RIVER RD, COLUMBIA, SC 29210-7395
(803) 772-8680
(803) 772-5241
Mailing address
1655 BROAD RIVER RD, COLUMBIA, SC 29210-7303
(803) 772-8680
(803) 772-5241
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
C0583
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SSN
—
Enumeration date
06/10/2006
Last updated
05/21/2020
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