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Contact Information

ADVANCED CHIROPRACTIC CLINIC, P.A.
1808 SECOND BAXTER XING
SUITE 108
FORT MILL, SC29708-6436
 Phone: 803-802-2225
 Fax: 803-802-2275
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

111NN0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ADVANCED CHIROPRACTIC CLINIC, P.A.

NPI Number 1588731962
LBN Legal business name ADVANCED CHIROPRACTIC CLINIC, P.A.
Authorized official DAVID THOMAS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/29/2006
Last updated 07/27/2007 - About 19 years ago
Identifiers
SC License # 1361
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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