Providence Chiropractic, Llc

NPI 1245571561 - Chiropractor - 111N00000X

NPI Details
NPI 1245571561
Enumeration Date 03/12/2013
Last Updated 03/12/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JESSICA M JESSICA
Position PROVIDER
Phone (803) 835-0444
Fax (803) 835-0489
Practice Location
3071 HIGHWAY 21 BYP
SUITE 103
FORT MILL SC, 29715-7205, US
Phone (803) 835-0444
Fax (803) 835-0489
Business Location
3071 HIGHWAY 21 BYP
SUITE 103
FORT MILL SC, 29715-7205, US
Phone (803) 835-0444
Fax (803) 835-0489
Toxanomy
Taxonomy Code 111N00000X
License State
License Number
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According to our database, Providence Chiropractic, Llc NPI is 1245571561, taxonomy code is 111N00000X Providence Chiropractic, Llc physically located at 3071 Highway 21 Byp, Fort Mill SC, 29715-7205. NPI Number 1033115704 has the healthcare provider type.

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1245571561 NPI number is provided on an as is basis without warranty of any kind. 1245571561 is maintained by the National Plan & Provider Enumeration System. The contents of Providence Chiropractic, Llc are for informational purposes only.