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Individual

JOHNNY J SANDERS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
2427 FISH HATCHERY RD, WEST COLUMBIA, SC 29172-2093
(803) 939-0785
Mailing address
PO BOX 3709, IRMO, SC 29063-4019

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4094
SC

Other

Enumeration date
01/05/2016
Last updated
01/05/2016
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