Organization
YADEN PHYSICAL AND INTEGRATED MEDICAL-LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERALD G YADEN DC (OWNER)
(843) 899-7933
Entity
Organization
Contact information
Practice address
425 BARONY ST, MONCKS CORNER, SC 29461-3128
(843) 899-7933
(843) 899-5796
Mailing address
425 BARONY ST, MONCKS CORNER, SC 29461-3128
(843) 899-7933
(843) 899-5796
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
08/27/2024
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