Individual provider · Type 1 NPI
William Manly Youngblood Jr., DC
Chiropractor · Charleston, SC
NPI number
1528019346
Active
Practice location
811 A St. Andrews Blvd.
Charleston, SC 29407
Fax (843) 225-0355
Mailing address
811 Saint Andrews Blvd
Charleston, SC 29407-7187
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2039 (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.
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About NPI 1528019346
William Manly Youngblood Jr., DC's National Provider Identifier is 1528019346, issued on May 15, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Charleston, SC. The record was last updated on Jul 9, 2007.