Gerald D Rudolph D.C.

NPI 1316142250 - Chiropractor - 111N00000X

NPI Details
NPI 1316142250
Gender Male
Enumeration Date 06/20/2007
Last Updated 12/03/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
COLUMBIA SC, 29201-2110, US
Phone (803) 376-6293
Fax (803) 376-6294
Business Location
COLUMBIA SC, 29209-5223, US
Phone (803) 776-0389
Taxonomy Code 111N00000X
License State South Carolina
License Number 3256
Remove 1316142250 NPI Number

According to our database, Gerald D Rudolph D.C. NPI is 1316142250, taxonomy code is 111N00000X and license number is 3256, license state is located at South Carolina. Gerald D Rudolph D.C. physically located at 1408 Elmwood Ave, Columbia SC, 29201-2110. NPI Number Gerald D Rudolph D.C. has the Individual type.

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1316142250 NPI number is provided on an as is basis without warranty of any kind. 1316142250 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald D Rudolph D.C. are for informational purposes only.