| Dowdy Rudolph Chiropractic Llc | |
|
1408 Elmwood Ave, Columbia, SC 29201-2110 | |
| (803) 376-6294 | |
| Not Available |
| Full Name | Dowdy Rudolph Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1408 Elmwood Ave, Columbia, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053510198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3256 (South Carolina) | Primary |
| Provider Name | Gerald D Rudolph |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316142250 PECOS PAC ID: 1052403532 Enrollment ID: I20070829000093 |
| Mailing Address | Practice Location Address |
|---|---|
| Dowdy Rudolph Chiropractic Llc 1408 Elmwood Ave, Columbia, SC 29201-2110 Ph: (803) 376-6294 | Dowdy Rudolph Chiropractic Llc 1408 Elmwood Ave, Columbia, SC 29201-2110 Ph: (803) 376-6294 |
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