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DR. JUSTIN BLAKE MEDFORD DC NPI 1184108151


NPI Information

NPI: 1184108151
Provider Name: DR. JUSTIN BLAKE MEDFORD, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
551 COLLEGE PARK RD
LADSON, SC
ZIP 29456
Phone: (843) 572-2224
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DR. Justin Blake Medford, DC is a chiropractor in Ladson, SC with 7 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Justin Blake Medford, DC NPI is 1184108151. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SHERMAN COLLEGE OF STRAIGHT CHIROPRACTIC
Graduation Year:2017

The provider's business location address is:

551 COLLEGE PARK RD
LADSON, SC
ZIP 29456-329
Phone: (843) 572-2224

The enumeration date for this NPI number is 9/17/2018 and was last updated on 2/12/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor4370SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.