Organization
SOUTH RIVER FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA CARLYNN TARJICK DC (OWNER/CHIROPRACTOR)
(410) 353-1616
Entity
Organization
Contact information
Practice address
3168 BRAVERTON ST STE 302, EDGEWATER, MD 21037-2680
(410) 353-1616
Mailing address
1406 JAMES WAY, EDGEWATER, MD 21037-1713
(410) 353-1616
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932344272
PROVIDER NPI
—
Enumeration date
04/06/2022
Last updated
04/06/2022
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