Organization
TEGA CAY CHIROPRACTIC - SPORTS INJURY CLINIC INC
Active
Other names
Randall J Conger DC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL J CONGER DC CCSP (PRESIDENT)
(803) 802-5322
Entity
Organization
Contact information
Practice address
101 STONE VILLAGE DRIVE, FORT MILL, SC 29708
(803) 802-5322
(803) 802-5665
Mailing address
101 STONE VILLAGE DRIVE, FORT MILL, SC 29708
(803) 802-5322
(803) 802-5665
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1915
NC
111N00000X
Chiropractor
Primary
2295
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH1916
—
SC
Enumeration date
07/18/2006
Last updated
08/22/2020
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