Individual
DR. JON KEITH BERGRIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
405 S EBENEZER RD, FLORENCE, SC 29501-7916
(843) 662-4341
(843) 679-3060
Mailing address
405 S EBENEZER RD, FLORENCE, SC 29501-7916
(843) 662-4341
(843) 679-3060
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1184
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH1184
—
SC
Enumeration date
02/15/2006
Last updated
07/09/2007
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