Organization
SOUTHEAST SPORTS CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD E RIDDLE D.C. (MEMBER)
(864) 680-3704
Entity
Organization
Contact information
Practice address
115 SOUTHPORT RD, UNIT F, SPARTANBURG, SC 29306-3813
(864) 680-3704
Mailing address
115 SOUTHPORT RD, UNIT F, SPARTANBURG, SC 29306-3813
(864) 680-3704
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
3484
SC
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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