Individual provider · Type 1 NPI
Justin Blake Medford, DC
Chiropractor · Ladson, SC
NPI number
1184108151
Active
Practice location
551 College Park Rd
Ladson, SC 29456-3329
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 4370 (SC) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
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About NPI 1184108151
Justin Blake Medford, DC's National Provider Identifier is 1184108151, issued on Sep 17, 2018. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Ladson, SC. The record was last updated on Feb 12, 2021.