Provider Demographics
NPI:1073840526
Name:DARRAH, JOSHUA DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:DAVID
Last Name:DARRAH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1791 WOODRUFF RD
Mailing Address - Street 2:STE I
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-6942
Mailing Address - Country:US
Mailing Address - Phone:864-254-9915
Mailing Address - Fax:864-254-9916
Practice Address - Street 1:1791 WOODRUFF RD
Practice Address - Street 2:STE I
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-6942
Practice Address - Country:US
Practice Address - Phone:864-254-9915
Practice Address - Fax:864-254-9916
Is Sole Proprietor?:No
Enumeration Date:2009-11-04
Last Update Date:2017-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3493111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor