| Elite Spine Chiropractic Llc | |
|
20 Creekview Ct Ste B, Greenville, SC 29615-4800 | |
| (864) 203-5388 | |
| Not Available |
| Full Name | Elite Spine Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 20 Creekview Ct Ste B, 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 |
|---|---|---|---|
| 1467922799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Dominic Geno Lupori |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548739949 PECOS PAC ID: 7315282043 Enrollment ID: I20181227000578 |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Spine Chiropractic Llc 603 Riverside Chase Cir, Greer, SC 29650-2521 Ph: (719) 201-3882 | Elite Spine Chiropractic Llc 20 Creekview Ct Ste B, Greenville, SC 29615-4800 Ph: (864) 203-5388 |
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