Individual
DR. LAD SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, NMD, PMD, DCCN,
Contact information
Practice address
2932 REIDVILLE RD, SUITE B, SPARTANBURG, SC 29301-5671
(864) 804-6294
(864) 804-6295
Mailing address
PO BOX 825, FAIRFOREST, SC 29336-0825
(864) 084-6294
(864) 804-6295
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
1864
SC
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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