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Organization

FORT MILL CHIROPRACTIC HEALTH CENTER, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TERRY JAMES VAN DERVORT D.C. (OWNER)
(803) 548-1722
Entity
Organization

Contact information

Practice address
306 TOM HALL ST, FORT MILL, SC 29715-2338
(803) 548-1722
Mailing address
PO BOX 803, FORT MILL, SC 29716-0803
(803) 548-1722

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
891
SC

Other

Enumeration date
02/12/2007
Last updated
08/22/2020
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