Individual
JARED A SAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
985 MARKET ST, STE 201, FORT MILL, SC 29708-6532
(803) 547-9800
(803) 547-9804
Mailing address
1039 MARKET ST, FORT MILL, SC 29708-6496
(304) 206-8149
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4200
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4200
MEDICAL LICENSES
SC
Enumeration date
01/24/2017
Last updated
01/24/2017
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