Individual
RAYMOND JACOB RAVAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1123 SOUTHLAKE DR STE F, LEXINGTON, SC 29073-7395
(803) 957-0880
Mailing address
1123 SOUTHLAKE DR STE F, LEXINGTON, SC 29073-7395
(803) 957-0880
(803) 957-0880
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
SC2261
SC
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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