Individual
DR. IRSA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 W 5TH NORTH ST, SUMMERVILLE, SC 29483-6166
(843) 873-0011
Mailing address
36302 OWL WOOD LN, SUMMERVILLE, SC 29486-2993
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5175
SC
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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