Five Forks Chiropractic Pa

NPI 1871680728 - Chiropractor - 111N00000X

NPI Details
NPI 1871680728
Enumeration Date 10/10/2006
Last Updated 03/06/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SUSAN M. SUSAN
Position PRESIDENT
Phone (864) 458-7008
Fax (864) 458-7002
Practice Location
7 FIVE FORK PLAZA CT STE D
SIMPSONVILLE SC, 29681-5461, US
Phone (864) 458-7008
Fax (864) 458-7002
Business Location
7 FIVE FORK PLAZA CT STE D
SIMPSONVILLE SC, 29681-5461, US
Phone (864) 458-7008
Fax (864) 458-7002
Toxanomy
Taxonomy Code 111N00000X
License State South Carolina
License Number 2612, 2772
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According to our database, Five Forks Chiropractic Pa NPI is 1871680728, taxonomy code is 111N00000X and license number is 2612, 2772, license state is located at South Carolina. Five Forks Chiropractic Pa physically located at 7 Five Fork Plaza Ct Ste D, Simpsonville SC, 29681-5461. NPI Number 1033115704 has the healthcare provider type.

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1871680728 NPI number is provided on an as is basis without warranty of any kind. 1871680728 is maintained by the National Plan & Provider Enumeration System. The contents of Five Forks Chiropractic Pa are for informational purposes only.