DR. Chucky Sentell Jordan, D.C.

NPI #1841656527 in Lake City, South Carolina

Provider Information

NPI Number: 1841656527
Entity Type: Individual
Name: DR. Chucky Sentell Jordan, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jan 11, 2016
Last Updated: Jan 11, 2016

Practice Location

Address: 263 KELLEY ST STE 100
City: Lake City
State: South Carolina
ZIP Code: 29560-2472
Phone: (843) 394-8274

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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