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Individual

DR. LEE EPPERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
130 PONTIAC BUSINESS CENTER DR, SUITE A, ELGIN, SC 29045-9171
(803) 865-2800
Mailing address
130 PONTIAC BUSINESS CENTER DR, SUITE A, ELGIN, SC 29045-9171
(803) 865-2800

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2359
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2359
SC LICENSE NUMBER
SC
01
7279211
AETNA - EPDB PIN
SC
05
CH2359
SC
01
P00030172
RR MEDICARE
SC
Enumeration date
02/16/2007
Last updated
02/12/2009
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