Individual
DR. RALPH JIM MINICO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
203 AMICKS FERRY RD, SUITE 800, CHAPIN, SC 29036-8663
(803) 932-9399
(803) 932-9299
Mailing address
203 AMICKS FERRY RD, SUITE 800, CHAPIN, SC 29036-8663
(803) 932-9399
(803) 932-9299
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2301006644
MI
111N00000X
Chiropractor
Primary
2441
SC
Other
Enumeration date
11/14/2005
Last updated
10/12/2010
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