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Individual

CHARLES A WHITE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
235 ELLIOTT ST, ORANGEBURG, SC 29115-6021
(803) 536-1634
(803) 536-1604
Mailing address
235 ELLIOTT ST, ORANGEBURG, SC 29115-6021
(803) 536-1634
(803) 536-1604

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1389
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CH1389
SC
Enumeration date
06/10/2005
Last updated
07/08/2007
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