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Individual

JONATHAN D SISK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
202 S SHELBY ST, BLACKSBURG, SC 29702-1542
(864) 839-2081
(866) 203-1019
Mailing address
202 S SHELBY ST, BLACKSBURG, SC 29702-1542
(864) 839-2081
(864) 839-2081

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3533
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1629391230
GROUP NPI FOR DR. JONATHAN SISK
SC
Enumeration date
01/17/2010
Last updated
08/13/2012
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