Individual
DOUGLAS MARK ROTH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
616 BULTMAN DR, SUITE B, SUMTER, SC 29150-2515
(803) 774-2070
(803) 775-8253
Mailing address
616 BULTMAN DR, SUITE B, SUMTER, SC 29150-2515
(803) 774-2070
(803) 775-8253
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3063
SC
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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