Organization
SAMUEL CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGINIA K SAMUEL DC,CCEP,DABCI,BS,MS, (CHIROPRACTOR, OT)
(803) 252-4966
Entity
Organization
Contact information
Practice address
2757 LAUREL ST, SUITE 4, COLUMBIA, SC 29204-2037
(803) 252-4966
(803) 252-1984
Mailing address
2757 LAUREL ST, SUITE 4, COLUMBIA, SC 29204-2037
(803) 252-4966
(803) 252-1984
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH1561
—
SC
Enumeration date
11/02/2006
Last updated
02/05/2020
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