Organization
SOUTHERN CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFREDO VALLEJO III D.C. (PRESIDENT)
(803) 269-2383
Entity
Organization
Contact information
Practice address
221 COLUMBIA AVE, LEXINGTON, SC 29072-2611
(803) 356-2870
(803) 356-2872
Mailing address
229 IVY HILL CT, LEXINGTON, SC 29072-8096
(803) 269-2383
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2715
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2715
—
SC
Enumeration date
04/16/2007
Last updated
08/22/2020
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