Organization
NEW DAWN CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT D. MADDOCKS D.C. (CHIROPRACTOR)
(803) 771-4868
Entity
Organization
Contact information
Practice address
1916 BARNWELL ST, COLUMBIA, SC 29201-2604
(803) 771-4868
(803) 312-0034
Mailing address
1916 BARNWELL ST, COLUMBIA, SC 29201-2604
(803) 771-4868
(803) 312-0034
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1064
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH1064
—
SC
Enumeration date
01/15/2008
Last updated
01/15/2008
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