Healthcare Provider Details

I. General information

NPI: 1144551987
Provider Name (Legal Business Name): TONINE GELARDI DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2010
Last Update Date: 01/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3210 MILLWOOD AVE
COLUMBIA SC
29205-1827
US

IV. Provider business mailing address

3210 MILLWOOD AVE
COLUMBIA SC
29205-1827
US

V. Phone/Fax

Practice location:
  • Phone: 803-251-2552
  • Fax:
Mailing address:
  • Phone: 803-251-2552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number923
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: