Individual
DR. REGINEL SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
263 KELLEY ST STE 100, LAKE CITY, SC 29560-2472
(843) 394-8274
Mailing address
1810 MIDDLETON ST, CAYCE, SC 29033-2437
(803) 549-7480
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
.4586
SC
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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