Individual
COURTNEY S VANACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1012 MARKET STREET, SUITE 101, FORT MILL, SC 29708
(803) 370-4294
Mailing address
1012 MARKET STREET, SUITE 101, FORT MILL, SC 29708
(803) 370-4294
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3702
SC
111N00000X
Chiropractor
Primary
4003
NC
Other
Enumeration date
12/09/2009
Last updated
11/05/2012
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