Individual
DR. RICHARD C MOONEYHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1655 BROAD RIVER RD, COLUMBIA, SC 29210-7303
(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
618
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CHO618
—
SC
Enumeration date
11/02/2006
Last updated
12/20/2017
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