Individual provider · NPI-1

Dr. Zachary Andrew Edmonds, D.C.

Chiropractor · Goose Creek, SC

NPI number1326406422
StatusActive
Last updated in NPPESFeb 3, 2016

Details

NPI
1326406422
Entity type
Individual (NPI-1)
Name
Dr. Zachary Andrew Edmonds
Credential
D.C.
Sex
Male
Sole proprietor
No
Enumeration date
Feb 3, 2016
Last updated
Feb 3, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor4107SCYes

Practice location

5 S Alliance Dr
Suite E
Goose Creek, SC 29445-7174

Phone 843-572-2224 · Fax 843-572-2274

Mailing address

5 S Alliance Dr
Suite E
Goose Creek, SC 29445-7174

Phone 843-572-2224 · Fax 843-572-2274

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