Individual
DEBORAH M NODRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
500 E JACKSON ST, DILLON, SC 29536-2935
(843) 841-3911
(843) 841-3912
Mailing address
500 E JACKSON ST, DILLON, SC 29536-2935
(843) 841-3911
(843) 841-3912
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2219
SC
111N00000X
Chiropractor
2615
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11656195
UNIVERSAL CREDENTIALING
SC
Enumeration date
11/13/2006
Last updated
04/18/2011
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