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Individual

DR. JOHNATHAN BRENT HAYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1811 BULL ST, COLUMBIA, SC 29201-2505
(803) 252-0108
(803) 256-6629
Mailing address
1811 BULL ST, COLUMBIA, SC 29201-2505
(803) 252-0108
(803) 256-6629

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3354
SC

Other

Enumeration date
01/28/2009
Last updated
01/28/2009
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