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Individual

DR. GEORGE JONATHAN PROTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3455 BROAD ST, LORIS, SC 29569-3001
(843) 756-2220
(843) 756-2221
Mailing address
3455 BROAD ST, LORIS, SC 29569-3001
(843) 756-2220
(843) 756-2221

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2901
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CH2901
SC
Enumeration date
07/07/2006
Last updated
07/08/2007
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