Organization
DEGRAAF CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN C DEGRAAF DC (OWNER -CHIROPRACTOR)
(803) 279-3360
Entity
Organization
Contact information
Practice address
244 EDGEFIELD RD, NORTH AUGUSTA, SC 29841-2486
(803) 279-3360
(803) 279-9440
Mailing address
244 EDGEFIELD RD, NORTH AUGUSTA, SC 29841-2486
(803) 279-3360
(803) 279-9440
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GCH119
—
SC
Enumeration date
07/04/2006
Last updated
06/02/2008
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