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Individual

DR. RICHARD D SHADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
513 HIGHWAY 17 N, NORTH MYRTLE BEACH, SC 29582-2903
(843) 280-7000
(843) 280-7001
Mailing address
513 HIGHWAY 17 N, NORTH MYRTLE BEACH, SC 29582-2903
(843) 280-7000
(843) 280-7001

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010861-1
NY

Other

Enumeration date
09/22/2006
Last updated
02/28/2022
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