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Organization

THEOBALD FAMILY CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID THEOBALD D. C. (PHYSICIAN)
(843) 849-3730
Entity
Organization

Contact information

Practice address
900 JOHNNIE DODDS BLVD, SUITE 102, MT PLEASANT, SC 29464-6130
(843) 849-3730
Mailing address
900 JOHNNIE DODDS BLVD, SUITE 102, MT PLEASANT, SC 29464-6130
(843) 849-3730

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
10/03/2012
Last updated
10/03/2012
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