DR. Justin Blake Medford, DC

NPI #1184108151 in Ladson, South Carolina

Provider Information

NPI Number: 1184108151
Entity Type: Individual
Name: DR. Justin Blake Medford, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Sep 17, 2018
Last Updated: Feb 12, 2021

Practice Location

Address: 551 COLLEGE PARK RD
City: Ladson
State: South Carolina
ZIP Code: 29456-3329
Phone: (843) 572-2224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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