Organization · Type 2 NPI

Providence Chiropractic, LLC

Chiropractor · Fort Mill, SC

NPI number 1245571561 Active

Practice location

3071 Highway 21 Byp, Suite 103
Fort Mill, SC 29715-7205

Fax (803) 835-0489

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XNone listed

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1245571561

Providence Chiropractic, LLC's National Provider Identifier is 1245571561, issued on Mar 12, 2013. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fort Mill, SC. The record was last updated on Mar 12, 2013.