Individual
JOHNATHAN DAVID MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1924 MT GALLANT RD, ROCK HILL, SC 29732-9434
(803) 323-5500
Mailing address
3014 GREENWOOD PARK CIR, ALBEMARLE, NC 28001-8536
(910) 333-2846
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5154
SC
111NR0400X
Rehabilitation Chiropractor
5154
SC
111NS0005X
Sports Physician Chiropractor
5154
SC
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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