Individual provider · Type 1 NPI
Ronald Lee Cotheran, DC
Chiropractor · Spartanburg, SC
NPI number
1669489480
Active
Practice location
104 Azalea Ct.
Spartanburg, SC 29301-6553
Mailing address
104 Azalea Ct
Spartanburg, SC 29301-6553
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 747 (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 1669489480
Ronald Lee Cotheran, DC's National Provider Identifier is 1669489480, issued on Aug 2, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Spartanburg, SC. The record was last updated on Jul 8, 2007.