Individual
DR. THOMAS R. DIFEDELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT, DC
Contact information
Practice address
1310 E. WASHINGTON ST., GREENVILLE, SC 29607
(864) 233-2221
Mailing address
4 THAMES DR., TAYLORS, SC 29687
(864) 233-2221
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
894
SC
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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