Organization
PALMETTO CHIROPRACTIC, IRMO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDSON LANE HELDRETH D.C (OWNER/PRESIDENT/DOCTOR)
(803) 749-8522
Entity
Organization
Contact information
Practice address
800 COLUMBIANA DR, IRMO, SC 29063-8527
(803) 749-8522
Mailing address
800 COLUMBIANA DRIVE, IRMO, SC 29063
(803) 749-8522
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2254
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255309068
PERSONAL NPI NUMBER
SC
Enumeration date
10/24/2006
Last updated
08/22/2020
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