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Individual

DEBBIE ROSE DOVE-KIDD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
105 GREENLAND DR, GOOSE CREEK, SC 29445-5354
(843) 797-3290
(843) 797-8598
Mailing address
PO BOX 810, GOOSE CREEK, SC 29445-0810
(843) 797-3290
(843) 797-8598

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0773
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
571112754
TAX ID #
SC
05
CH0773
SC
Enumeration date
04/12/2006
Last updated
09/27/2013
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