Healthcare Provider Details

I. General information

NPI: 1437085644
Provider Name (Legal Business Name): PAYTON HARAJDIC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

618 8TH AVE UNIT A
AYNOR SC
29511-3145
US

IV. Provider business mailing address

1843 BARNHILL RD
GALIVANTS FERRY SC
29544-7223
US

V. Phone/Fax

Practice location:
  • Phone: 843-246-9001
  • Fax:
Mailing address:
  • Phone: 843-246-9001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5276
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: