Individual provider · Type 1 NPI
Jack Edward Newsome Jr., DC
Chiropractor · Liberty, SC
NPI number
1356384879
Active
Practice location
21 S Commerce St
Liberty, SC 29657-1132
Mailing address
307 W Front St
Liberty, SC 29657-1011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH 7705 (FL) |
| Chiropractor | 111N00000X | 2259 (SC) |
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.
About NPI 1356384879
Jack Edward Newsome Jr., DC's National Provider Identifier is 1356384879, issued on Jun 13, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Liberty, SC. The record was last updated on Sep 17, 2012.