Individual
RANDALL CLYDE LINDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
2294 OTRANTO RD, N CHARLESTON, SC 29406-9603
(843) 225-2550
Mailing address
2294 OTRANTO ROAD, N. CHARLESTON, SC 29406
(843) 225-2550
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3755
SC
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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