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Organization

THERAPEUTIC CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DERMAN BYERLY HODGE III D.C. (DOCTOR OF CHIROPRACTIC)
(843) 407-8657
Entity
Organization

Contact information

Practice address
101 VERDAE BLVD, SUITE 900, GREENVILLE, SC 29607-3832
(864) 675-1155
Mailing address
PO BOX 16312, GREENVILLE, SC 29606-7312
(843) 407-8657

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3424
SC

Other

Enumeration date
04/14/2009
Last updated
04/14/2009
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