100 Chiro Fehrman Llc | |
1025 Woodruff Rd Ste A104, Greenville, SC 29607-4133 | |
(740) 630-4350 | |
Not Available |
Full Name | 100 Chiro Fehrman Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 1025 Woodruff Rd Ste A104, Greenville, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811669260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Cody Fehrman |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1720606874 PECOS PAC ID: 8022404227 Enrollment ID: I20220414001385 |
Mailing Address | Practice Location Address |
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100 Chiro Fehrman Llc 30 Chosen Ct, Greer, SC 29650-2659 Ph: (740) 630-4350 | 100 Chiro Fehrman Llc 1025 Woodruff Rd Ste A104, Greenville, SC 29607-4133 Ph: (740) 630-4350 |
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