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Contact Information

WALNUT LANE MANAGEMENT LLC
148 WALNUT LANE
SUITE I
TRAVELERS REST, SC29690
 Phone: 864-834-8099
 Fax: 864-834-8108
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for WALNUT LANE MANAGEMENT LLC

NPI # 1679529010
LBN Legal business name WALNUT LANE MANAGEMENT LLC
Authorized official NANCY ST JOHN - (CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/26/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
SC License # 1637
SC Medicaid CH1637
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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