Individual
DR. JESSICA A CARDINAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
7522 IRMO DR, STE 1, COLUMBIA, SC 29212-8640
(803) 454-1096
(803) 454-1095
Mailing address
PO BOX 1322, IRMO, SC 29063-1322
(803) 454-1096
(803) 454-1095
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2340
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649358508
GROUP NPI
SC
Enumeration date
04/29/2006
Last updated
03/16/2018
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