Individual
DR. RANDALL JAMES CONGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
101 STONE VILLAGE DRIVE, FORT MILL, SC 29708-6489
(803) 802-5322
(803) 802-5665
Mailing address
101 STONE VILLAGE DRIVE, FORT MILL, SC 29708-6489
(803) 802-5322
(803) 802-5665
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1915
NC
111N00000X
Chiropractor
Primary
2295
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH1916
—
SC
Enumeration date
05/31/2007
Last updated
07/08/2007
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