IndividualActive
Chucky Jordan, D.C.
NPI 1841656527 · Chiropractor · Lake City, SC
Provider details
- NPI number
- 1841656527
- Entity type
- Individual
- Primary specialty
- ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- License
- SC 4099 (SC)
Specialties & taxonomies
Chiropractic Providers
Practice location
263 Kelley St Ste 100
Lake City, SC 29560-2472
Phone: (843) 394-8274
Approximate (ZIP-level) locationGet directions
Mailing address
542 Ben Gause Rd
Coward, SC 29530-5127
Registry dates
- Enumerated
- 2016-01-11
- Last updated
- 2016-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.