Individual
GERALD D RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1408 ELMWOOD AVE, COLUMBIA, SC 29201-2110
(803) 376-6293
(803) 376-6294
Mailing address
3017 LEMANS, COLUMBIA, SC 29209-5223
(803) 776-0389
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3256
SC
Other
Enumeration date
06/20/2007
Last updated
12/03/2007
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