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Individual

DR. TERRY JAMES VANDERVORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
306 TOM HALL ST, FORT MILL, SC 29715-2338
(803) 548-1722
Mailing address
PO BOX 803, FORT MILL, SC 29716-0803
(803) 548-1722

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
891
SC

Other

Enumeration date
02/13/2007
Last updated
07/08/2007
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