ADDISON BLAKE NELSON

CHIROSERV INC

Dr ADDISON BLAKE NELSON is a male medical professional, specializing in Chiropractic. He graduated in 2012 from Life Chiropractic College.

Contact

CHIROSERV INC

722 N FRASER ST
SUITE A
GEORGETOWN
SC
294403353

Tel: 8435274200

ADDISON BLAKE NELSON Information

Npi 1912255498
Pac Id 0547415879
Professional Enrollment Id I20130312000354
Last Name NELSON
First Name ADDISON
Middle Name BLAKE
Suffix
Gender M
Credential
Medical School Name LIFE CHIROPRACTIC COLLEGE
Graduation Year 2012
Primary Specialty CHIROPRACTIC
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CHIROSERV INC
Group Practice Pac Id 7315253481
Number Of Group Practice Members 2
Line 1 Street Address 722 N FRASER ST
Line 2 Street Address SUITE A
Marker Of Address Line 2 Suppression
City GEORGETOWN
State SC
Zip Code 294403353
Phone Number 8435274200
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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