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Contact Information

GREENVILLE SPINE AND SPORT
1326 HAYWOOD RD
GREENVILLE, SC29615-2255
 Phone: 864-326-6075
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for GREENVILLE SPINE AND SPORT

NPI # 1235544255
LBN Legal business name GREENVILLE SPINE AND SPORT
Authorized official ADAM MORRELL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/27/2014
Last updated 06/27/2014 - About 12 years ago
Identifiers
SC License # 3193
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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