=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437085644
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | PAYTON HARAJDIC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/23/2026
-----------------------------------------------------
Last Update Date | 06/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 618 8TH AVE UNIT A
-----------------------------------------------------
City | AYNOR
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29511-3145
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-246-9001
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1843 BARNHILL RD
-----------------------------------------------------
City | GALIVANTS FERRY
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29544-7223
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-246-9001
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 5276
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------