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Organization

PROVIDENCE CHIROPRACTIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JESSICA M HARDEN DC (PROVIDER)
(803) 835-0444
Entity
Organization

Contact information

Practice address
3071 HIGHWAY 21 BYP, SUITE 103, FORT MILL, SC 29715-7205
(803) 835-0444
(803) 835-0489
Mailing address
3071 HIGHWAY 21 BYP, SUITE 103, FORT MILL, SC 29715-7205
(803) 835-0444
(803) 835-0489

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
03/12/2013
Last updated
03/12/2013
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